KEEE Tester – St. Louis Parish

Katie’s Testing Page

2017-2018 College Registration

Please complete form below to the best you can at this time. Please keep us informed of any changes to your school address, which school you are attending, cell#, etc

Personal Information

Last Name *
First Name *
Date of Birth *
Home Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Cell Phone *
I am... *
A studentNot a student but college aged (18-22ish)

Student Information (So we can send monthly newsletters and holiday gifts….) Please type "N/A" if the field is non-applicable.

School Name *
Year in School *
Do you have a school address? *
Yes. I'll enter it below.Yes, but I don't have it now. Follow up please.No, please use my home.
School Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Involvement

Campus Ministry Connection *
Would you like to be introduced to your campus minister via email? We will also send you a link to your campus ministry calendar so you can get involved.Yes, please!No, thanks!

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>: