| Prince of Peace Catholic Church

Name (First and Last) REQUIRED Please fill out this field. Please enter valid data.

Select Child or Volunteer REQUIRED Please fill out this field.

Indicate Grade in Fall 2024 for children and Mid & HS Volunteers REQUIRED Please fill out this field. Please enter valid data.

T-Shirt Size REQUIRED Please fill out this field.

Gender REQUIRED Please fill out this field.

Family Registered at Prince of Peace? (just for informational purposes) REQUIRED Please fill out this field.

Street Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Text? REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Parent Guardian Name(s) REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Person(s) other than parent that can pick up Child REQUIRED Please fill out this field. Please enter valid data.

Medical Conditions REQUIRED Please fill out this field.

The following two questions are for Volunteers only:

I would like to Help in one of these areas Guide Crafts/Music Games Snacks Pre-School Nursery Other

Days Available All 5 days, Monday - Friday Monday Tuesday Wednesday Thursday Friday

Parent Guardian Signature REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Please note that there is a $20.00 Material fee per child.

Online Payments ( Preferred) and available here. Make all other payments to Parish Office.

** Watch for Flocknote emails: email is our primary means of communications.**