Registration form

Catholic Family Conference

Pre-registrations, although not necessary, are highly recommended to help us get a count for food.

Registation Donation recommended:

Donations can be paid at the door or sent to Fr. Mike Harrington at:

Fr. Mike Harrington
Director of the Catholic Family Conference
St. Ann Church
243 Neponset Ave.
Dorchester, Ma. 02122

Please make check payable to: St. Mary's Church Waltham.

Fill out the information below and click "Submit registration" to register today!

Name * First Last
Address

Street Address

Address 2

City

State

Zip Code
Email *
We require a valid e-mail address for registration so that we can contact you regarding this event. We will not sell or otherwise distribute your e-mail to a third party.
Phone Number - (###) - ### ####
Which organization or parish are you with?
What is your first language?

What is your ethnic community?
I am registering as: An individual A group A family
If you are registering as a family or group, how many people are included?
If you are registering as a family or group, what are the names of the people in your group?
(If any are under 18, please list their ages and grade level completed.)
Please contact me for future events for the Family Conference:
by e-mail by print mail Do not contact me for future events.
Additional comments
Security check
Thank you! Please click "Submit Registration" to submit your registration.