Roncalli Newman Parish - Student Registration 2024-2025

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Welcome to the Roncalli Newman Catholic Center at UWL & WTC. We want to know more about you! By filling out this form below, you'll be able to see what Roncalli Newman has to offer and let us know what you are interested in. Thank you for your time and may God bless your school year!

What is your primary email address? *

First Name: *

Last Name: *

Gender: *

Male

Female

Phone Number: *

School: *

UW - La Crosse

Western Technical College

Viterbo

Other:

What year in school are you? *

Graduate Student

If you live in the dorms, which one?

Anticipated Graduation Month and Year

What is your religion? (All are welcome here!)

Please select all that apply to you

I am a UW or WTC varsity athlete

I am in a fraternity/sorority

I am an international student

I am interested in learning about the student club: eagleCatholic

I am interested in social events

Parent/Guardian Name(s)

Parents'/Guardians' Address (Street Number, City, State, Zip Code)

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