EmailMe Form - New Student/Teacher Addon Form

Students Name *

First Last

Summer Camp Attending *

ASH Mater

ASH Rosary

Holy Name of Jesus School

Jesuit High School

Students Date of Birth *

MM / DD / YYYY

School Attending 2022-2023

Name of Parent or Gaurdian *

First Last

Mailing Address *

Street Address City State / Province / Region Postal / Zip Code

Parental Contact Phone Number *

### - ### - ####

Parent Email *

Please Note any Comments and/or Notes here if necessary. We will contact you once your account is live and setup so that you can access it.