Children's Liturgy of the Word Registration Form

Student Registration Form

For children entering PreK - third grade this fall. They will meet during Mass (Sat. 5 PM, Sun. 9:00 AM, 11:00 AM and 4:30 PM) Fees are 1 child-$60, 2 children-$75, 3 children-$95. If you volunteer to teach for one quarter, then fee is waived for the year.
Parent/Guardian 1*

First NameLast Name
Parent E-mail*
Parent/Guardian 2

First NameLast Name
Parent E-mail
Best contact Phone Number*
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mass you normally attend:

Sat. 5:00 PMSun. 9:00 AMSun. 11:00 AMSun. 4:30 PM

Student Registration Form