Local Mission Experience 2023 Registration Form
June 11-14, 2023
Local Mission
Neenah/Menasha Area, WI 
$50.00 per person
For Grades 7-12*

Service Hours:

June 11, 4:45pm-7:35pm (Meet at St. Gabriel Parish)
June 12- June 14, 8:45am-4:05pm (Meet at St. Margaret Mary Parish)

Join YOUTH from the Neenah and Menasha Catholic Parishes in serving the neighbors in our communities! Each group will consist of 3-5 youth and an adult Chaperone. Groups will help parishioners and community partners throughout the Fox Valley area. 

Registration Information: 

Please note, spots are not confirmed until a $50.00 nonrefundable payment is received at the St. Margaret Mary office, 439 Washington Ave. Neenah, WI 54956

Checks made payable to St. Margaret Mary Parish with memo: Local Mission Trip.

Once BOTH the online registration form and the payment are received you will be sent an email confirmation with an agenda and notes on what to bring. 

Contact: Tina Peirick at tpeirick@smcatholicschools.org or 920-729-4560 with questions. Thank you!

PLEASE NOTE: If you are from a Parish outside of Neenah and Menasha: An adult chaperone from family or home parish is required to attend for up to 5 youth. Contact Tina with any questions. Thank you!

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Email *
Neenah-Menasha Parishes
Are you a Parish member at a Neenah or Menasha Catholic Parish?  *
Parish Name
 *
Parent Name - First and Last 
 *
Parent/Chaperone Phone Number
 *
Parent/Chaperone Additional Email Addresses
 *
Youth First Name *
Youth Last Name *
Grade September 2023-2024 School Year
 *
What school will youth attend next year (2023-2024)?
 *
Shirt Size - All Adult sizes
 *
List a name of a friend or a school you'd like to be in work group with. 
Will your student require medication administration during the trip? (This includes ALL medications, both OTC and Prescription Medications)  A member of our leadership team will follow up with you before the trip.
 *
Please list any allergies or medical conditions we need to know about.  A member of our leadership team will follow up with you before the trip. Please leave blank if there are none.
Emergency Contact Name 
 *
Emergency Contact Number
 *

I give the Neenah-Menasha Parishes permission to use photos or video images of my child/children in any future publications.

 *
I acknowledge that my registration will be confirmed when my $50.00 payment has been received.  

Payments of cash or check can be mailed to or dropped off at St. Margaret Mary Parish, 439 Washington Ave., Neenah, WI 54956 ATTN: Tina Peirick

Checks made payable to St. Margaret Mary Parish with memo: Local Mission Trip.
 *
I would like to volunteer in the following way:
A copy of your responses will be emailed to the address you provided.
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