Our Lady of Perpetual Help Parish

2130 Franklin Avenue

Morton, PA  19070-1217

(610) 543-1046   fax(610) 543-6150

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Our Lady of Perpetual Help Parish Youth Ministry

 

Junior Youth Group

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                        2008- 2009 Membership Form

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Full Name: _________________________________________________

 

Address:     _________________________________________________

 

City, Zip:    _________________________________________________

 

School & Present Grade:_______________________________________

 

Phone #:     ____________________       Date of Birth :  _____________

 

Father's Name:   _______________           Mother's Name:    ______________

 

Parent’s Email:___________________________________________________

 

Suggestions for Service Projects:  ____________________________________

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Suggestions for Social Events:  ______________________________________

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 Updated August 27, 2008