Newman Catholic Center

Every year we conduct a registration for all students who are a part of the Newman Community. Even if you have registered before, we need you to register so that we can update our records.

An (*) asterisk indicates a required item. Please make sure you fill out these items below.

Student Registration Form for the Newman Catholic Center.
Registration Status: *	First Time   Previous Registrant
Last Name: *
First Name: *
Cell / Local Phone: *
Email Address: *
Birthdate:
Gender: *	Male   Female
Parent’s Names: *
Parent’s Street Address: *
Parent’s City: *
Parent’s State: *
Parent’s Zip Code: *
Parent’s Phone Number: *
Parent’s Email: *
Parish Name: *
Parish City / Diocese: *
Student Attending: *	Cal Poly   Cuesta College
Student Status: *	Undergraduate   Graduate   Transfer
Year of Graduation: *
Year in College: *	1st   2nd   3rd   4th   5th   6+
Major: *
Get Involved:	Bible Study   Men’s Group   Music Ministry   People’s Kitchen   Retreats   Women’s Group
Sacraments:	I want to receive the Sacrament of Confirmation   I want instruction to become Catholic (RCIA Program)
Car Pool:	I NEED a ride to Sunday College Mass   I CAN GIVE a ride to Sunday College Mass
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