Queen of Peace Creed Night 2017-2018
Register for our Wednesday Night Program for grades 7-11
Family Name *
Your answer
Parent(s) Name(s) *
Your answer
Parent Email *
Your answer
Parent Phone Number *
Your answer
Parent Mailing Address *
Your answer
Student 1 Name *
Your answer
Student 1 Grade *
Student 2 Name
Your answer
Student 2 Grade
Student 3 Name
Your answer
Student 3 Grade
Would you (parent) be willing and available to be a part of our Hospitality team? (setting up and serving a meal each week)
Would you (parent) be interested in being a part of a small group that meets in homes and helps to strengthen your knowledge of the Catholic Faith?
Image Release: I, the Parent/Guardian of those I have registered, hereby authorize and consent to the use of his/her visual image by Queen of Peace Parish for appropriate purposes, including but not limited to: still photography, videotape, electronic and print publications and websites, including Facebook and the parish website. I give this consent with no claim for payment. *
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