Prince of Peace/ Príncipe de Paz Student Ministry Registration

Student Name:

If you have multiple students in your family please fill out one form for each student.

Parent's Name [First & Last]:

Student Mailing Address:

Student Email address

Parent Email Address:

This address will receive a confirmation email

Parent Phone Number:

Student Birthdate:

Is this student baptized?

Yes No I would like more information about this

Student's Grade in School:

School student Attends:

Student's Interests & Hobbies:

I would like more information about: (please check ALL that apply) First Communion Confirmation Middle School Youth High School Youth

I would like more information & what I am looking for is not listed above:

Allergies:

Other Information (what would help us serve this student better?)

Description

Please fill out one form for each Middle School and/or High School student. This form will serve as a blanket medical form for most activities. We may attend some events that require additional forms.

Prince of Peace/ Príncipe de Paz Student Ministry Registration

Description

Please Fix the Following