• Student Registration

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  • Students please submit a new registration form each year so our information is current.
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  • First Name REQUIRED Please fill out this field. Please enter valid data.
  • Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Sex REQUIRED (Select One) male female Please fill out this field.
  • Birthdate REQUIRED Please fill out this field. Please enter a date.
  • Marital Status None Single Engaged Married Seperated Divorced
  • Status REQUIRED (Select One) Freshman Sophmore Junior Senior Grad/Med/Law Please fill out this field.
  • Major REQUIRED Please fill out this field. Please enter valid data.
  • Start Date Please enter valid data.
  • Expected Graduation Date REQUIRED Please fill out this field. Please enter a date.
  • Address for fall semester 2021 REQUIRED Please fill out this field.
  • E-mail Address REQUIRED Please fill out this field. Please enter an email address.
  • Phone Number REQUIRED Please fill out this field. Please enter valid data.
  • Cell Phone Carrier REQUIRED Please fill out this field. Please enter valid data.
  • Name of your home Parish Please enter valid data.
  • What Diocese are you from? Please enter valid data.
  • Did you attend Catholic School? None Yes No
  • If yes, what school(s)? Please enter valid data.
  • Parent's Address: street, city and zip REQUIRED Please fill out this field.
  • I want to be contacted about or continue my involvement in Small Group Bible Study Women's Small Group Men's Small Group Lector (Read at Mass) Eucharistic Minister Music Ministry Mass Coordinator Student Leadership Sunday School Teacher Youth Ministry Leader

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