St Theresa Parish Church

35 South Main Street, Sherborn, MA 01770
Office: 508-653-6253 Fax: 508-651-8798

Generations of Faith
Registration Form

Please Complete by September 21st, 2006 to help with our planning

1. Contact Information

Household Last Name
Mailing Address
City
State, Zip
Telephone	home cell
E-Mail

Please indicate level using numbers 1-6 from the following:

1- Adult (40 yrs+) 2- Adult (Post Confirmation to Age 40) 3- Grades 9 & 10
4- Grades 6-8 5- Grades 4 & 5 6- Age 5 to Grade 3 7- Age 18 mos. to 4 years (Sat. & Sun.only)

Name:	Level:
Name:	Level:
Name:	Level:
Name:	Level:
Name:	Level:
Name:	Level:

Please rank the following sessions in order of preference. We will try to honor all requests for 1st and 2nd choices on a first come, first served basis.

1st Choice:
2nd Choice:
3rd Choice: