Adult Online Registration Part 1 and 2
* Please complete Part 1 Online Registration below.
* Click Continue
* Then print, complete and mail Part 2 with a donation (suggested $15.00).
* Remember to click Submit after printing.

Do you have any questions? Please call Sr. M. Karolyn at 618.463.2757 or email her at

"'Master, where do you live?'
He said to them, 'Come and See.' " John 1:38-39
Your First Name *
Your Last Name *
Date of Birth *
Email *
Year of HS Graduation *
Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Work Phone
Parish *
College Attending/Professional Employer *
College/Alternative Address *
(please type <none> if you do not have one)
Special Needs *
(i.e. dietary, or type <none> if not applicable)
Travel Information *
Travel Information (for those by plane)
(please type your Flight Information, including Dates/Times/Flight #'s and Carrier)
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