New Student Registration

Please complete and submit the following.

Name:

Local Address:

I am on campus off campus.

Local Phone: Cell Phone:

Email:

Birthday:

Classification: Freshman Sophmore Junnior Senior
           Graduate Faculty Staff Administration Other

Parent's Name:

Parent's Address:

           City:       State:       Zip:

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I would be interested in helping at the Sunday 6 P.M. mass:

      Song Leader Musician (instrument?)    Lectoring

      Eucharisteic Minister Ushering/Greeting Ultar Server

      Help set up before mass.

I would be interested in...

      Song Leader Community service Parent's Night Out (Babysitting)

      Social Activitise Other Suggesstions

Home Parish

Name of Parish:

           City:       State:       Zip: