Student Registration Form

Thank you for taking the time to fill out the necessary information. Welcome to SMSG, or welcome back!

* Required

Date *

Please Check One: *

Name: * Please write your name in this format: Last, First, MI

Address * Number, street, apt, city, state, zip code

Date of birth *

Your phone number *

Email address *

Are you baptized? *

Have you been confirmed? *

If not Catholic, what is your religion or denomination?

Are you thinking about a religious vocation as a priest, sister, or brother?

What is your major?

Year in school?

Have you made your 1st Communion? *

Expected graduation date?

College/university if not UC?

Parent (s)' Name (s)

Parent phone number with area code

Permanent address

Is either of your parents a UC alumnus?

Interested in music ministry?

Interested in Parish Peace and Justice ministry?

Interested in spiritual formation/education?

Interested in becoming a Student Leader?

Do you have any other special skills or interests?