Jr. High Rally Pre-registration & Payment

Parent/Guardian

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Youth

What parish or church does your family regularly attend? REQUIRED Please fill out this field. Please enter valid data.

Does your child regularly participate in youth group at St. Pius? REQUIRED YES NO Please fill out this field.

Registration Fee30.0

St. Pius X CATHOLIC Church