REGISTRATION for 2007-2008

            Junior High Youth Ministry Grades 7 – 8

Name_________________________________ Nick Name________________

Address___________________________________________________

_______________________________________________________________

(City)                                                           (State)                                        (Zip Code)

Phone Number_____________________________________

E-mail Address______________________________________________

Age____________       Birth Date_____________

Grade____________   School__________________________________

Adult T-Shirt size (circle)            S          M          L          XL          2XL

Mothers Full Name___________________________________________

Fathers Full Name___________________________________________

Are you a NEW member to Youth Ministry? ____________

Are you a member of St. Francis Parish ?______

If no, do you attend another church? ______

Which one? ___________________________________________