"Fired Up" Middle School Youth Rally
Registration Form

Please use the form below to register
for the "Fired Up" Middle School Youth Rally
to be held on Saturday, May 15 ~ 10:00 AM - 5:00 PM.

Registration:

Name
Street
City
Zip Code
Phone
E-mail
Parents' E-mail
Emergency contact number
Would you like to
order a T-shirt
with the "Fired Up" logo?
($10 before the rally, $15 at the rally)		 Yes
Size

Fees:

OLMC Parish will cover $15 of the $25 cost,
so you only need to pay $10 for the rally.
Rally Fee:
T-shirt Fee:
Total Fee:

Clicking on "Submit" below will submit your registration and bring you to a confirmation page where you will find a link to pay your $10 fee (plus the T-shirt fee if you have ordered one).