Registration Page

First Name REQUIRED Please fill out this field. Please enter valid data.

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Street Address REQUIRED Please fill out this field. Please enter valid data.

Apt #, Ste #, etc. REQUIRED Please fill out this field. Please enter valid data.

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Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

University Affiliation REQUIRED Student - Freshman Student - Sophomore Student - Junior Student - Senior Graduate Student Administration Faculty/Staff Alumni Non-University Affiliated Community Member Please fill out this field.

Department/Major REQUIRED Please fill out this field. Please enter valid data.

Fraternity/Sorority Please enter valid data.

Athlete/Sport Please enter valid data.

Home Parish Please enter valid data.

Parent's First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Parent's Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

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Parent(s) Email Address REQUIRED Please fill out this field. Please enter valid data.

Parent(s) Contact Phone Number REQUIRED Please fill out this field. Please enter an integer (number).

Please check all Liturgical Ministry positions you would like more information about. Altar Server (Serve during Mass) Lector (Read during Mass) Eucharistic Minister (Distribute Holy Communion during Mass) Usher (Greet and collect offertory during Mass) Music Ministry (Sing/Play Instrument during Mass)

If you play an instrument, please specify below: Please enter valid data.

Please check all Missions and Retreats you would like more information about. International Mission Domestic Mission Connect Retreat (Freshman Students) Catholic Campus Ministry Fall Retreat (Little Rock, Arkansas) Busy Student Retreat Awakening Retreat (Undergrad/Grad Ages 18-24) Setons Divine Retreat (Undergraduate Females)