Parent Name (Primary Contact) *

First Name

Last Name

Parent Phone (Primary Contact) *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Number One

First Name

Last Name

What program would you like to register student one in?

Promise (Grade K-1)

Good News (Grade 2-3)

Venture (Grade 4-5)

1st Reconciliation & Communion

Confirmation

Edge (6th to 8th)

Life Teen (High School)

Student Number Two

First Name

Last Name

What program would you like to register student two in?

Promise (Grade K-1)

Good News (Grade 2-3)

Venture (Grade 4-5)

1st Reconciliation & Communion

Confirmation

Edge (6th to 8th)

Life Teen (High School)

Student Number Three

First Name

Last Name

What program would you like to register student three in?

Promise (Grade K-1)

Good News (Grade 2-3)

Venture (Grade 4-5)

1st Reconciliation & Communion

Confirmation

Edge (6th to 8th)

Life Teen (High School)

Student Number Four

First Name

Last Name

What program would you like to register student four in?

Promise (Grade K-1)

Good News (Grade 2-3)

Venture (Grade 4-5)

1st Reconciliation & Communion

Confirmation

Edge (6th to 8th)

Life Teen (High School)

Student Number Five

First Name

Last Name

What program would you like to register student five in?

Promise (Grade K-1)

Good News (Grade 2-3)

Venture (Grade 4-5)

1st Reconciliation & Communion

Confirmation

Edge (6th to 8th)

Life Teen (High School)