Edge Online Registration

EDGE Registration Form

Are you currently registered with our parish? REQUIRED Yes No. If you'd like to register for the parish, click on 'Parish Registration' button. Please fill out this field.

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Teen Information

Indicate how many teens you are registering for EDGE: REQUIRED Please fill out this field.
Teen 1
- Teen's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's First Name (Baptismal-not nickname) REQUIRED Please fill out this field. Please enter valid data.
- Teen's Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Teen's Gender REQUIRED Female Male Please fill out this field.
- Teen's Grade as of 08/11/2024 REQUIRED Please fill out this field.
- If Teen is NOT Catholic, type their denomination Please enter valid data.
- BAPTISM: REQUIRED Yes, Baptized Catholic Yes, Baptized in another Christian faith No, not Baptized Please fill out this field.
- FIRST HOLY COMMUNION: REQUIRED Yes, received in a Roman Catholic Church No Please fill out this field.
Teen 2
- Teen's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's First Name (Baptismal-not nickname) REQUIRED Please fill out this field. Please enter valid data.
- Teen's Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Teen's Gender REQUIRED Female Male Please fill out this field.
- Teen's Grade as of 08/11/2024 REQUIRED Please fill out this field.
- If Teen is NOT Catholic, type their denomination Please enter valid data.
- BAPTISM: REQUIRED Yes, Baptized Catholic Yes, Baptized in another Christian faith No, not Baptized Please fill out this field.
- FIRST HOLY COMMUNION: REQUIRED Yes, received in a Roman Catholic Church No Please fill out this field.
Teen 3
- Teen's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's First Name (Baptismal-not nickname) REQUIRED Please fill out this field. Please enter valid data.
- Teen's Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Teen's Gender REQUIRED Female Male Please fill out this field.
- Teen's Grade as of 08/11/2024 REQUIRED Please fill out this field.
- If Teen is NOT Catholic, type their denomination Please enter valid data.
- BAPTISM: REQUIRED Yes, Baptized Catholic Yes, Baptized in another Christian faith No, not Baptized Please fill out this field.
- FIRST HOLY COMMUNION: REQUIRED Yes, received in a Roman Catholic Church No Please fill out this field.
Teen 4
- Teen's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's First Name (Baptismal-not nickname) REQUIRED Please fill out this field. Please enter valid data.
- Teen's Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Teen's Gender REQUIRED Female Male Please fill out this field.
- Teen's Grade as of 08/11/2024 REQUIRED Please fill out this field.
- If Teen is NOT Catholic, type their denomination Please enter valid data.
- BAPTISM: REQUIRED Yes, Baptized Catholic Yes, Baptized in another Christian faith No, not Baptized Please fill out this field.
- FIRST HOLY COMMUNION: REQUIRED Yes, received in a Roman Catholic Church No Please fill out this field.

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FAMILY/PARENT REGISTRATION

Father Last Name Please enter valid data.

Father First Name Please enter valid data.

Father Cell Phone Please enter a phone number.

Father Email Please enter an email address.

Mother Last Name Please enter valid data.

Mother First Name Please enter valid data.

Mother Email Please enter an email address.

Mother Cell Number Please enter a phone number.

Email used for all communications (this will be used for Flocknote): REQUIRED Please fill out this field. Please enter an email address.

Cell Phone used for all communications (this will be used for Flocknote): REQUIRED

Use cell phone # if no home phone. This number will be used for class cancellation and other important reminders.

Please fill out this field. Please enter a phone number.

Family 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.

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EMERGENCY CONTACT

Emergency Contact: First and Last Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact: Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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MEDICAL INFORMATION

Medical/Hospital Insurance Carrier REQUIRED Please fill out this field. Please enter valid data.

Name of Policy Holder REQUIRED Please fill out this field. Please enter valid data.

Relation to Participant REQUIRED Please fill out this field. Please enter valid data.

Policy Number REQUIRED Please fill out this field. Please enter valid data.

Group Number REQUIRED Please fill out this field. Please enter valid data.

List any health limitations that we need to be aware of, including dietary restrictions:

Other allergies/reactions (food, plants, insects, etc.)

My child is taking the following medication(s); list name of medication, dosage and reason for use

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DOCUMENT/WAIVER FORM AUTHORIZATION

PARENT: Do you give permission for the Annual Medical Release? REQUIRED Please fill out this field.

PARENT: Do you give permission for the Annual Media Release? REQUIRED Please fill out this field.

Entering my full name below is the equivalent of my signed authorization as the legal parent or guardian of the Teen(s) being registered and that I have read the above documents. REQUIRED Please fill out this field. Please enter valid data.

Today's Date REQUIRED Please fill out this field. Please enter a date.

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EDGE PAYMENT

Annual Registration REQUIRED 2024-2025 (Must select if attending BEFORE 8/17/2025) 2025-2026 (Must select if attending AFTER 8/17/2025) Please fill out this field.

EDGE Annual Fee per student25.0

How many Teens are you registering for EDGE? REQUIRED Please fill out this field.

COOK TEAM: PARENT VOLUNTEERS NEEDED FOR DINNER! REQUIRED I would like to help with the Cook Team. I am unable to help with the Cook Team. Please fill out this field.

I am unable to help with a Cook Team so I'd like to donate $50 for food for my teen(s) for the year. 50.0 – Donate

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You MUST click on the "PROCEED TO PAYMENT"
button for us to receive this registration.

If you do not receive the payment page, please review the above information to insure that all required fields are filled in (any required missing information will be highlighted in RED).

A payment page will then display. Please complete your payment within 10 minutes. You will then receive an E-Catholic email confirming the receipt of your submission and whether or not you paid.

If you do not complete the payment page within 10 minutes, the page will become inactive. If this happens, please wait for an email which will confirm receipt of your submission and also provide a link for payment. Please use this link which is specific to your registration to make your payment.

Thank you!

Edge Online Registration

2024-2025 REGISTRATION

2025-2026 REGISTRATION NOW OPEN

parents - read the following documents

Parish registration

EDGE Registration Form

Teen Information

FAMILY/PARENT REGISTRATION

EMERGENCY CONTACT

MEDICAL INFORMATION

DOCUMENT/WAIVER FORM AUTHORIZATION

EDGE PAYMENT