Registration Form
Fall Faith Formation Kick-Off
October 4^th, 2009
12noon-2:30

Family Name:
Phone Number:
Email:

Number of Adults: Children: Grandparents:

Yes, I’d like childcare for my children under the age of 4.

    Names and ages:

Email below, or Send by mail to:
Peggy Lynge,
St. Louis Church
64 S. Main Street
Pittsford, NY 14534
..... or drop off at the Ministry Center by Friday, Sept. 25^th.