∙ NEW STUDENT REGISTRATION ∙

Give us some information about you!

FIRST Name: REQUIRED Please fill out this field. Please enter valid data.

LAST Name: REQUIRED Please fill out this field. Please enter valid data.

Email: REQUIRED

Feel free to put your school or personal address here- whichever one you'll check more often!

Please fill out this field. Please enter valid data.

Cell Phone Number: REQUIRED Please fill out this field. Please enter valid data.

Local Address: Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Date of Birth:

Wondering why we need this? Don't worry, we aren't trying to steal your identity, we just want to tell you happy birthday!

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Expected Graduation Date (Semester, Year): REQUIRED Please fill out this field.

Year at UI: Freshman Sophomore Junior Senior Transfer Grad

Involved in Greek Life? REQUIRED Yes No Please fill out this field.

If so, what sorority or fraternity?

You are: REQUIRED Please fill out this field.

Tell us a bit about your parents!

FIRST Name: Please enter valid data.

LAST Name: Please enter valid data.

Email: Please enter valid data.

Cell Phone Number: Please enter valid data.

Address: Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

(Second Parent) FIRST Name: Please enter valid data.

(Second Parent) LAST Name: Please enter valid data.

(Second Parent) Email: Please enter valid data.

(Second Parent) Cell Phone Number: Please enter valid data.

(Second Parent) Address:

If this is the same address as your Father's feel free to write "same as above"

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City Please enter valid data.

State

Zip Please enter a zip code.

For the following areas, please CHECK BOX if interested!

Would you like to help serve at Mass in some way? Lector (Reader) Extraordinary Minister of Holy Communion Acolyte (Altar Server) Greeter Sacristan Choir (both instruments and singers welcome!)

If so, at which Mass do you prefer to serve?

When can you serve?

If you plan on going home for breaks- it's probably best to select "Only when school is in session", but, if you're local to Moscow, "Year-round" means you could help even over school breaks!

Would you like to commit to a weekly Adoration time slot? REQUIRED Yes No Please fill out this field.

If so, please list available 1/2 hour time slot(s) in order of preference (ex 10:30am-11:00am):

How would you like to get involved? Spirit & Life Faith Formation FOCUS Bible Studies Knights of Columbus Vandal Catholic Intellect Vandal Catholic Horticulture Vandal Catholic Gym Intramurals Charismatic Prayer Community Human Life and Dignity

∙ NEW STUDENT REGISTRATION ∙

We'd love to wecome YOU as a Vandal Catholic!

Student Registration Form

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