We Are the Light Summer Mission Experience 2022 Registration Form
June 5 - 8, 2022  ** Please note, spots are not confirmed until $50 payment is received at the St. Margaret Mary office, 439 Washington Ave. Neenah. Checks made payable to St. Margaret Mary Parish with memo: Local Mission Trip.

** If you are signing up after March 1st, you will be on a WAITLIST

Contact: Tina Peirick at tpeirick@smcatholicschools.org or 920-729-4560 with questions. Thank you!
Sign in to Google to save your progress. Learn more
Email *
First Name *
I am registering as a *
Last Name *
Parish Name *
Grade in September 2022 *
What school will you attend next year (2022-2023)? *
List name/s of friend/s you'd like to be with in same group.
We can not guarantee youth will be in same group as all names listed, but we will make our best effort.
Parent Name - First and Last (Chaperones Skip)
Parent/Chaperone Email Address *
Parent/Chaperone Phone Number *
Emergency Contact Name *
Emergency Contact Number *
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 skip if there are none.
Will your student require medication administration during the trip? (This includes ALL medications, both OTC and Presription Medications)  A member of our leadership team will follow up with you before the trip. *
Shirt Size - All Adult sizes *
I acknowledge that my registration is not confirmed until my $50 Payment has been submitted.  Payments can be mailed to or dropped off at St. Margaret Mary Parish, 439 Washington Ave., Neenah, WI 54956 ATTN: Tina Peirick *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Mary Catholic Schools. Report Abuse
Google Forms