Registration Form - Children's Come, Follow Days - June 12-13, 2018
Please fill in all of the blanks. Participants should be 9 to 13 years of age. Submit one form for each participant. Please print off the medical release form from the website and mail to the following address:

Sister M. Consolata
Mater Redemptoris House of Formation
3730 East Avenue South
La Crosse, WI 54602

A suggested donation of $40.00 to cover costs is appreciated. Please make checks payable to "Mater Redemptoris." Please include "Children's Come, Follow Days" in the Memo Line. We look forward to having you with us! God bless you!

First Name *
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Last Name *
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Age *
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Date of Birth *
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Parent's Name *
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Phone Number *
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E-mail Address *
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Mailing Address - Street *
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Mailing Address - City *
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Mailing Address - State *
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Mailing Address - Zip Code *
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State any dietary restrictions *
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Comments or Questions
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