Roncalli Newman Parish - Student Registration 2020-2021
Students, welcome to the Roncalli Newman Catholic Center at UWL and WTC! By filling out this form below, we can keep you in the loop of events and opportunities Newman has throughout the year. Thank you!
What is your primary email address? *
First Name: *
Last Name: *
Secondary email address:
Gender: *
Phone Number: *
School: *
What year in school are you? *
If you live in the dorms, which one?
Anticipated Graduation Month and Year
What is your religion (If not Catholic)?
Are you interested in Bible Study? (You don't need to be Catholic to join!)
Clear selection
Please select all that apply to you
Parent/Guardian Name(s)
Parents'/Guardians' Address (Street Number, City, State, Zip Code)
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