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Jr. High Fiesta Registration

Parish:      City:

Adult Contact:   Phone:

E Mail Address:  

Sunday, January 20, 2013 - Holy Family, Wharton - 11:30 am

Sunday, March 24, 2013 - St. Mary, Victoria - 10:00 am

 

Participants First Name:    Last Name:    Youth: or Adult:

Participants First Name:    Last Name:    Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:  

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

Participants First Name:    Last Name:   Youth:  or Adult:

 Total number of Youth Participants:       X $10.00 =

 $

Total number of Adult Participants:      X   $7.00 =

 $

Total amount due   

 $