Electronic Registration Form
Picnic and Social
 

    

In order to register for this event, please complete the following form.  The results of the form will be sent to Msgr. James Bartylla, Director of Vocations.  If you have any difficulties completing this form, please send an email to the Office of Vocations Web Coordinator.

 

What is the name of the student(s) who will be attending?
If there is more than one student attending in a given family, you may register all students on one form.


Full name of first student

Full name of second student (if applicable)

Full name of third student (if applicable)
What parish do you attend most regularly?
Parish Name
 
City
What is your home address?
Address, Line 1

Address, Line 2 (if needed)
       
City                                                 State     Zip
What are the names of your parents who will be attending with you on the evening?
Father's name
Mother's name
May we have your email address so that we may confirm your registration?
Enter your email address here

When you've finished the form,
please click on the submit button below
 to send the form to the Office of Vocations.