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Event Registration

This online form is for registering for Youth Ministry events only. Registration for Summer Camp programs will be available in December 2007.


Event

Camper Information
Items with an * are required.

*Name:
*Address:
*City: *State: * Zip:
*Phone: ( )
Email:
*Grade: *Age: *Gender: Male    Female
Home Parish:
Roommate Request:

Parent/Guardian Information

*Name:
Address:
(fill out if different from child)
City: State: Zip:
Home Phone: ( )     Other Phone: ( )
*Email:

Additional Information/Questions: