Ignite 2016- 2017 Registration Form
Ignite is a Catholic community of high school students rooted in the Ignatian Way of prayer, service, and community.

We regularly meet on the 2nd and 4th Saturday of the month from 6:30pm - 9:00pm in the Parish House. Each student only needs to register once for the year.

Throughout the year, there will be opportunities for reflection and service that will take us throughout the city. Registration for these events are separate.

STUDENT INFORMATION
First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
School
Your answer
Your Grade for the 2016 - 2017 Academic Year
Email
Your answer
Phone Number
Your answer
PARENTS/GUARDIANS
Parent/Guardian 1 - First and Last Name
Your answer
Parent/Guardian 1 - Email
Your answer
Parent/Guardian 1 - Phone Number
Your answer
Parent/Guardian 2 - First and Last Name
Your answer
Parent/Guardian 2 - Phone Number
Your answer
Parent/Guardian 2 - Email
Your answer
ADDITIONAL EMERGENCY CONTACT
Please enter the information for an emergency contact if this person differs from the student's parents/guardians
First and Last Name
Your answer
Phone Number
Your answer
Submit
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