2023-2024 Catholic Patriots Student Registration
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Full First Name *
Last Name *
Nickname / Other names
Have you signed up with us before? (at Luau, Last Year, etc) *
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Cell Phone (no punctuation) *
Email *
School *
Year *
Class of *
Are you Catholic? *
If not, what is your religious affiliation?
Are you interested in Bible Study/Small Group? *
Athletic Team (if applicable)
Greek Chapter Membership (if applicable)
Select your interests and we'll be in touch soon!
Interested
Intramural Sports
Community Service
Pro-Life/Social Justice
Social Events
Men's/Women's Ministries
Advertising (photo, video, graphic design)
RCIA (becoming a Catholic)
Liturgical Singer/Musician
Lector (reading at Mass)
Altar Server
Weekend Mass Usher
Share anything else you'd like us to know!
Family Information
We ask these questions so we can occasionally reach out to your family about events going on at CCM. 
Parent/Guardian 1 First & Last Name
Parent/Guardian 1 Email
Parent/Guardian 1 Phone Number
Parent/Guardian 2 First & Last Name
Parent/Guardian 2 Email
Parent/Guardian 2 Phone Number
Family Home Address Street
City
State
Zip Code
Home Parish Name & Town
Submit
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