Love Begins Here Student Registration Form
Welcome to the registration for Love Begins Here at St. Therese Parish in Appleton from July 15--20! We are so excited to have you join us on this wonderful opportunity.

This form is for student missionaries only and is to be completed by their parent as this serves as their liability form.

Once you submit this form, your spot is officially reserved and your parish youth minister will be notified.
A fee of $120 for high school school weeks is due to your youth minister.

If you are registering as part of a group, please give your money to your group leader in a check made out to your parish.
If you are registering as an individual, please write a check to the Diocese of Green Bay and mail it to:
Youth Ministry Office - Love Begins Here
1825 Riverside Dr.
Green Bay, WI 54301
Sign in to Google to save your progress. Learn more
First Name of Participant *
Last Name of Participant *
Home Address of Participant *
Street Address
City, Zipcode *
City and zip code of residence
Gender *
Parents/Guardians Names *
Home Phone Number of Parents *
Cell Phone Number of Parents *
Email Address of Parents that is checked regularly *
Student Participant Date of Birth *
MM
/
DD
/
YYYY
Current Grade *
High school weeks are for those in 9th-12th grade during the 2017-2018 school year. Graduating seniors are invited to participate in high school weeks.
Student Shirt Size *
Your Parish *
Your School *
I am registering as...
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms