Registration Information Request

Please complete the information below if you would like us to contact you about registering (usually within a week). Click on Finish at the bottom to submit the form. If you have any questions, feel free to contact Chris Smith, Director of Stewardship and Development at 760-758-4100 x120 or chriss@stmoside.org.

Thank you for your interest!

 
1.

Please enter the information indicated below.


First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com

2.

Cell Phone: 

 

50 characters left.
3.

Spouse's Name (if applicable):

 

50 characters left.
4.

Children's Names and Ages (if applicable): 

 

50 characters left.
5.

How would you like us to conact you? 

Home phone
Work phone
Cell phone
Email
Other  
6.

Do you have any additional comments or questions?

 

350 characters left.