Parish Registration/Interest

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

Preferred First Name (Nickname) Please enter valid data.

School REQUIRED Michigan Tech Finlandia Gogebic C.C. Other Please fill out this field.

Gender REQUIRED Male Female Please fill out this field.

Year in School REQUIRED Please fill out this field.

Major Please enter valid data.

Anticipated Graduation Date Please enter valid data.

Cell Phone Please enter valid data.

MTU Email REQUIRED Please fill out this field. Please enter valid data.

Dorm/Room # Please enter valid data.

Permanent (Home) Address 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.

What high school did you attend? Please enter valid data.

Parent Phone Please enter valid data.

Is this your mom or dad's phone number? Mom's # Dad's # Both (Home phone)

Parent Email Please enter valid data.

Is this your mom or dad's email? Mom's email Dad's email Both (shared email)

Dad's Name Please enter valid data.

Dad an alumnus of Michigan Tech? Yes No

Mom's Name Please enter valid data.

Mom an alumna of Michigan Tech? Yes No

Select your interests below:

Community Friday Night Fireside Fellowship (A speaker or activity after Mass and dinner on Friday nights) Bible Study/Prayer Group Fall & Spring Retreats Hiking/Camping/Adventuring St. Al's Sports Teams (Broomball, etc) I'm interested in social activities

Learn Bible/Theology Classes I'm Catholic and want to learn more I'm Catholic, not Confirmed, but interested I'm not Catholic, but interested

Serve Service/Social Justice Activities Knights of Columbus Pro-Life Ministry Mission Trips

Prayer/Liturgy Music Ministry Ushers/Hospitality at Mass Altar Servers Lectors Extraordinary Ministers of Holy Communion Adoration of the Blessed Sacrament Rosary Liturgy of the Hours

I'm Currently Involved... As a Varsity Athlete In Greek Life (fraternity/sorority)