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Registration for Holy Cross LIFE TEEN Phone:979-479-4788; fax:979-244-5481 2005-2006 High School Registration Form
LIFE TEEN Mass is at 6:00 pm on Sunday nights. Everyone is invited to attend. The LIFE NIGHT will immediately follow the Mass in the Holy Cross School Gym and all high school teens are invited to attend.
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YOUTH INFORMATION: Teen’s First & Last Name:__________________________________________ Street Address:___________________________________________________ City, State & Zip:_________________________________________________ Home Phone:____________________________________________________ Teen’s Cell Phone or Pager:________________________________________ Teen’s E-Mail Address:___________________________________________ School Attending:________________________________________________ Year Graduating:__________________ Sex: Male Female Date of Birth:______________________________(month, day, year)
PARENT INFORMATION: Father’s Name:_________________________________________________ Father’s Address:_______________________________________________ Father’s Work & Cell Phone:_____________________________________ Mother’s Name:________________________________________________ Mother’s Address:______________________________________________ Mother’s Work & Cell Phone:_____________________________________ T-Shirt Size: Small Medium Large X-Large XX-Large I would like to buy a Life Teen T-shirt for $15.00 cash check |