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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.

 


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