St. Helen Catholic Church

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Quinceañera Intake Form

- Sacraments

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- Submit the Quinceañera Intake Form, and we will contact you with instructions for how to submit paperwork.
- Full Name of the Quinceañera (First and Last) REQUIRED Please fill out this field. Please enter valid data.
- Full Name of Father (First and Last) REQUIRED Please fill out this field. Please enter valid data.
- Full Name of Mother (First and Last) 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.
- Full Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Have you regularly attended the Youth Ministry Program for a minimum of 6 months. REQUIRED Please fill out this field.
- Are you a registered and an active parishioner of St. Helen for at least a year? REQUIRED Please fill out this field.
- Do you attend Mass on Sundays and Holy Days of Obligation? REQUIRED Please fill out this field.
- Do you and your mother agree to attend a Quinceañera class offered at St. Helen? REQUIRED Please fill out this field.
- The Quinceañera Coordinator will call you to set up an appointment. At this appointment, present the certificates of Baptism and First Holy Communion.
  
  Once the application is approved, the amount is due in full.
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