Registration Form&lt;div&gt;&lt;br&gt;&lt;div&gt;Please read the information on the Registration Page before completing this form.&lt;/div&gt;&lt;/div&gt;

The maximum number of form submissions has been reached. This form is currently not available.

All fields are required. You must pay $50 upon registration using our Online Giving payment system. You will need to make a payment in order to complete the registration. Payment must be made online.

Start by entering the name of the student and your family envelope number. If you do not know your number, please call the parish office at 770-867-4876 to obtain.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Family Envelope Number REQUIRED Please fill out this field. Please enter an integer (number).
Grade entering in Fall 2023 REQUIRED 9 10 11 12 Please fill out this field.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number of Student REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email of student REQUIRED Please fill out this field. Please enter an email address.
Baptism Year; Church name and location REQUIRED Please fill out this field. Please enter valid data.
1st Communion Year; Church name and location REQUIRED Please fill out this field. Please enter valid data.
Name of parent/guardian responsible for payment. REQUIRED Please fill out this field. Please enter valid data.
Phone number of parent/guardian responsible for payment. REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email of parent responsible for payment. REQUIRED Please fill out this field. Please enter an email address.
Name and phone number of other parent/guardian. REQUIRED Please fill out this field.
Preferred Contact: REQUIRED Mother Father Both Please fill out this field.
Please check appropriate box for placement in our High School program. REQUIRED This is my first time in the high school program. I am retaking year one of the high school program. I am eligible for year two of the high school program. I am retaking year two of the high school program. Please fill out this field.
I wish to be considered for the Sacrament of Confirmation as I am in my second year. I understand that I will need to complete a separate application form for the Confirmation Classes. REQUIRED I am in my second year and meet the requirements for Confirmation. I am in my first year and not yet eligible to register for Confirmation. Please fill out this field.
Registration Commitment:

My parent and I agree to meet the annual requirements of this program:
Attend at least 80% of the scheduled weekly sessions. (only 6 sessions may be missed)

Participate in at least one retreat.

Complete at least one service project.
I Agree Please select this field.
Handbook and Code of Conduct Agreement:

I have read the Handbook and Code of Conduct. I understand them, and I will abide by the rules and regulations as outlined therein. I will also abide by all rules established by the adult leaders. In the event that I choose not to conform to these rules, I understand that my parents/guardians will be notified of the infraction and consequences will be assigned. This is outlined in the handbook.
I Agree Please select this field.
List Allergies: Type NO ALLERGIES if there are none. REQUIRED Please fill out this field.
List Medications: Type NO MEDICATIONS if there are none. REQUIRED Please fill out this field.
Please list any other health problems / limitations / special needs we need to be aware of. If none, please type NONE. REQUIRED Please fill out this field.
All payments must be made online. $50 Payment is required to complete this registration. Submit this form then click the link below to go to OnLine Giving. Use your bank account or credit card for payment. VISA and Mastercard gift cards are acceptable forms of payment. Choose Religious Ed Tuition fund in OnLine Giving.

Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Saint Matthew Catholic Church

25 Wilkins Road SW
Winder, GA 30680

770-867-4876

Registration Form

Please read the information on the Registration Page before completing this form.

2023-24 Registration Form for High School LifeTeen

Make Payment Via OnLine Giving

Registration FormPlease read the information on the Registration Page before completing this form.

Registration Form

Please read the information on the Registration Page before completing this form.