Fr. Jim's Open House - Please fill in the fields below as they apply


Name: 


     Children:

Phone number:


*Childcare: (7:00 PM to 8:00 PM) *For ages 2-6

Child/Children's names and ages
 


                                                               

















Sample: "The John Doe Family" or "John and Jane Doe"
 Adults:  2  Children:  2
(704) 123-4567
Sarah, 6  Joshua, 4