Event Registration

Date __________________

First Name ________________ Last Name ___________________________

Address ____________________________ City _____________ Zip ______

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

e-mail _______________________________

Parish: Name ___________________________ City/Town ______________

Please register me for the following event:

_____ Fall Study Day - $55.00

_____ Lenten Day of Reflection - $55.00

Make checks payable and return to:

Catholic Biblical Studies Program

PO Box 639

Kenmore, NY 14217