RE Registration Volunteer

Full Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Other Phone Number

This can include cell phone, home phone, or work phone.

Please enter a phone number.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email Please enter an email address.

Birthday Date REQUIRED Please fill out this field. Please enter a date.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

How would you like to volunteer? (Please check all that apply.)

Please check below all that apply.

Catechist Catechist aide Junior aide (Jr. high or high school age volunteer) Other

If selected other in the previous question please specify: Please enter valid data.

Place check(s) next to the class(es) one would like to help with:

If you selected more than one, please indicate your 1st, 2nd, 3rd preference in the space below.

Welcome!