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The Catholic Center at UVM

UNDERGRADUATE & GRADUATE STUDENT Registration Form

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Today's date:

Name:
Local Address:
City State Zip

Phone:

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

Class of: Date of Birth (mm/dd/yy):

Enrolled at:

Father's Name:
Address:
City: State: Zip:
Phone:

Mother's Name:
Address:
City: State: Zip
Phone

My home address is the same as:

FAITH ENRICHMENT:
I Am Interested in Learning More About: (check all that apply)

Becoming a Catholic / being Confirmed / making First Communion (RCIA).

Retreats

Prayer Groups

Religious vocation

Faith Lectures / Discussions

Suggestions:

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

Hospitality / Greeter

Choir - Singer

Choir - Instrument:

Lector

Liturgical Decoration

SOCIAL:
I would like to join:

Catholic Student Association (CSA) - undergraduate students

Young Adults Group - non-traditional /graduate / medical students

SERVICE:
I Would Like To Help With (check all that apply):

Salvation Army Dinners

COTS Walk (Committee on Temporary Shelter)

CROP Walk

Dismas House dinners

Visit the Elderly

Cleanup Days at The Catholic Center

Suggestions:

Any comments, suggestions, or questions?

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