I am new to The Catholic Center.

Family Name

Date of Birth (mm/dd/yy):

Local Address:
City State Zip

Phone

Internet E-Mail Address (must be filled out in order for the form to be sent to The Catholic Center):

Household Member Name
Mailing Address
City State Zip
Phone

Mother's Name
Mailing Address
City State Zip
Phone

Faith Enrichment:
I Am Interested in Learning More About: (check all that apply)

Becoming a Catholic/Confirmation.	Bible Study \ Discussion Groups
Retreats	Prayer Group
Religious education for children	Journaling Workshops
Other

LITURGY:
I Would Like To Volunteer for: (check all that apply)

Hospitality / Greeter	Choir - Singer
Nursery	Choir - Instrument:
Lector

I Would Like To Help With:

Social Events	Dinners
Community service
Other

Any comments, suggestions, or questions?