Generations of Faith
	St. Joseph Catholic Church
	2008-2009 Registration
Please list all household members
Last Name	First Name	Age (Children)	Grade in School
911 Address______________________________________		Home Phone # __________________________
PO Box ________________	City ___________________	Zip Code ________________
Parish:    Elkader      Volga       Strawberry Point		Work # ____________________________
e-mail ___________________________________________		Work # ____________________________
Registration Fee:
Single: $15
Couple: $25
Family: $50
I have enclosed $ _______________ with this registration.
Cash     or     Check # _____________		Amount:   $ _______________
Financial assistance is available, please call Deb at 245-2548.			(Please try to pay in full before 11/1/08)
	(All requests are kept confidential)
PLEASE SIGN MEDIA RELEASE FORM ON BACK!
COMMENTS:  _______________________________________________________________________________
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