2005 High School Youth Ministry Program
(Registration for the 2004)

Note: Fees can be paid at the Parish Office during regular business hours or at the orientation meeting you attend.

You can also download the registration form

  
 
 
Parish Family is registered at :
Family Name

Last Name

Parent's First Name
Home Address

# & Street

City

Zipcode
Home Phone :
Business/Cell Phone :
Email Address:
 
List of Students Enrolling
Student's Name (First/Last)
Grade in 2004/05
School Student will attend
 
Registration fee for Parishioners
1 Student $105
2 Students $125
3 or more students $150
Out of Parish Registration Additional Fee $40
 
 
 
     

 

 

 

 
 



 

 
St. Rose of Lima, Chula Vista, CA 91910
Copyright© 2003 All Rights Reserved