Newman: The Roman Catholic Parish at the Ecumenical Religious Center

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Name

Campus Address (Including street, apartment #, city, zip)

Parents' first and last names, street address, city, and zip.

Phone number

Semester in School

Email Address

Liturgy (hold control or open-apple to select more than one)

If instrumentalist, what instrument?

Education (hold control or open-apple to select more than one)

General

Liturgy Preference - I usually attend:

Support

Because I recognize the need to support this parish which supports me, I am willing to give $2 a week in the collection.

My anticipated date of graduation:


110 Garfield Avenue
Eau Claire, WI 54701-4042
715.834.3399
www.newmanec.com