CYO Dance Registration

Complete and Print form.


All CYO activities require membership. Yes, I am a St. Jerome CYO member.
Membership Application


CYO Member / Student Name:


Grade: Room Number:



Chaperones ar needed for this Dance. Interested? Fill out below and THANKS!

Chaperone Name:

Phone #:
Please fill out, print and sign this form.
Return it, along with your fee, to school in an enveloped marked CYO Dance, attention Christine Zabrowski.
Make sure your envelope has a student name and room number on the front.
Make checks payable to St. Jerome CYO.