Please note that this is just a place holder, your registration is not complete until the required fee of $250 along with the signed "Participant Rules and Guidelines" form is received. Please mail the form along with a check payable to "Sacred Heart Knanaya Catholic Parish" or give them to one of the youth representatives in your parish.
 
You can mail the form to:
 
Joseph Mutholam
17128 Kropp Ct
Orland Park
IL 60467 

* 1. Name:

* 2. Family Name:

* 3. Address:

* 4. Home Phone:

* 5. Cell Phone:

* 6. Email:

* 7. DOB:

* 8. Grade

* 9. Father's Name:

* 10. Mother's Name:

* 11. Parent's Phone Number:

* 12. Emergency Contact:

* 13. Emergency Contact Phone:

* 14. Do you have any special needs?

* 15. Regular medications?

* 16. Do you have any food allergies?

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