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

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Parent Name (s) REQUIRED Please fill out this field. Please enter valid data.
  • Parent Email REQUIRED Please fill out this field. Please enter an email address.
  • Student Email Please enter an email address.
  • Student Cell Number Please enter a phone number.
  • Primary Parent Number REQUIRED Please fill out this field. Please enter a phone number.
  • Parish you attend/Religious Affiliation if non- Catholic REQUIRED Please fill out this field. Please enter valid data.
  • Current Grade Level REQUIRED 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade Young Adult (out of high school and age 18-20) Adult (21+) Please fill out this field.
  • A down payment is required to hold your spot. Down payments are refundable until April 22nd. After this, they are non-refundable. My down payment will be made using: REQUIRED (Select One) Scrip CHWC Account (funds left from past years) Paypal (button below) Send in a Check to the parish office within 5 days of registering. Check made out to: Holy Spirit Parish, memo: CHWC Registration. Please fill out this field.

  Submit

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

• CHWC  Down Payment -$150

  CHWC Student's Name: