Print and return to:

St. Mark Religious Ed Office, 812 Reckord Road , Fallston , MD 21047

Please fill out a separate form for each child.

 

Name ______________________________________ Phone _____________________

Address _________________________________________________________________________

Parish ______________________________________ entering grade ______ in Sept.,2008

In case of an emergency, contact:

Name ___________________________________________ Phone __________________

 

Health Concerns, allergies (if none, please write "none":

____________________________________________________________

 

Please attach $25 Payment with registration. [Checks made payable to: St. Mark Church.]

 

Parent signature _________________________________________________________

Volunteers are needed to make this program a success.

Parents and any students entering grades 6 - 12 in the fall,

We'd LOVE to have your help!

Name __________________________________________ Phone _______________

[Please check appropriate spaces]

____Parent or ____Student entering grade ___ in August

Help with: ____food, or ____ a class [prefer grade ___]