JPII HS Social Club Adult Registration For 2008-2009

Enter your last name Enter your first name(s) like Kathy & David Enter your evening contact phone Enter your street address Enter your city/state/zipcode like Royse City, TX 75189 Enter your preferred email contact for Social Club Information

Were you a 2007-2008 Social Club Adult Member? Yes No

Check all the Social Club activities you wish to join Select an activity if one or both adults wish to participate. I am interested in monthly Dance Sessions and Dance Outings I am not interested in dancing I want to go to the climbing camp November 8-9, 2008 I am not interested in rockclimbing I am interested in biking outings; possibly MS 150 I am not interested in biking

Indicate your ballroom dance experience No ballroom dance experience Limited ballroom dance experience Multi-year ballroom dance experience

Indicate your rock climbing/rappelling experience No climbing experience Limited climbing experience Multi-year climbing experience

Indicate your interest in our 2009 Meditteranean cruise Already a 2009 cruise participant I am interested in the trip I am not interested