Class Registration

Date __________________

Name ___________________________________________________

Address ____________________________ City _____________ Zip ______

Hm. Ph. ______________ Wk. Ph. _____________ Cell Ph. ____________

e-mail _______________________________

Parish: Name __________________________ City/Town ______________

Occupation ____________________________________________

I am registering as a ____1st Year Student, ____ 2nd Year Student

____3rd Year Student, ____ 4th Year Student

I would like to register for the following location __________________________,

to be held on __________________ (Day) at _____________ (Time).

My 2nd choice is _____________________________

Please follow these simple guidelines for registration:

Class sizes may be limited so…Register Early to ensure your choice of class location.
There is a $40.00 registration fee (non-refundable) due with your registration form.

1st Year students pay a $55.00 fee that includes 3 texts

Catholic Biblical Studies Program

PO Box 639

Kenmore, NY 14217