Catholic Charismatic Center

Houston, TX

1949 Cullen Blvd. Houston, TX 77023 713-236-9977 Fax 713-236-0073

Search

JEREMIAH Youth Training

Saturday, October 7^th
9:30am-12:30pm
Room 111A

Limited Space Available

ADVANCED registration IS REQUIRED
with parental consent at least 3 days prior to the training

CLICK HERE TO DOWNLOAD FORMS

NO WALK-INS ALLOWED

For additional information, contact Melva Suski @ 713.447.7174
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field.
- Home & Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Please list 2 names & phone numbers of adults for emergency contacts: REQUIRED Please fill out this field.
- Volunteer position: REQUIRED Please fill out this field. Please enter valid data.
- Date of Application REQUIRED Please fill out this field. Please enter valid data.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.