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Wisconsin Catholic Youth Rally Registration
If you have multiple students, please fill out the form once for each student.
Electronic payments can be made here:
https://membership.faithdirect.net/givenow/WI860/37879
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* Indicates required question
Student Name
*
Your answer
Grade
*
6
7
8
9
10
11
12
School
*
Your answer
Parent Name(s)
*
Your answer
Parent Phone Number(s)
*
Your answer
Parent Email(s)
*
Your answer
Will parent(s) be attending?
*
Yes - both
Yes - just Mom
Yes - just Dad
No
Student Medical Conditions
*
Your answer
Student Medicines
*
Your answer
Has the student ever experienced Eucharistic Adoration?
*
Yes
No
How will you get us the COVID-19 consent form?
*
Print, sign, scan, and email to
jessicalemoine@divinemercysm.org
Print, sign, and drop off at office at 695 College Avenue, South Milwaukee, WI 53172
Print, sign, and mail to office at 695 College Avenue, South Milwaukee, WI 53172
Payment Method
*
Faith Direct
Drop off at office at 695 College Avenue, South Milwaukee, WI 53172
Mail to office at 695 College Avenue, South Milwaukee, WI 53172
What would be the best day and time for your child to meet for a follow-up Bible study?
*
Sunday at 6:30pm
Wednesday at 6:30pm
Any comments or questions
Your answer
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