St Stephen's CYO Registration 2023-2024

(Cost for the 2023-2024 season is to be determined, more info to follow)

Child's First Name *

Child's Last Name *

Male or Female *

Child's Current Grade *

Child's Date of Birth * +

1st Parent's First Name *

1st Parent's Last Name *

2nd Parent's First Name (Optional)

2nd Parent's Last Name (Optional)

Street Address *

City *

State *

Postal Code *

Home Phone *

Cell Phone *

Email Address *

2nd Email Address (Optional)

Is your family part of St Stephen's Parish ? *

Parishioner (If Parishioner, please provide Parishioner # in box below)

Non-Parishioner

Parishioner # (if non parishioner enter NA) *