Please print, fill out and bring with you to Ss. Peter and Paul in Great Meadows, NJ, on August 7th. |
First & Last Name:________________________________________________________
Address/City/State/Zip Code: ___________________________________________________
Telephone Number:(__________)_____________________________
Age:_______
Make/Model/Color/License
Plate # of Vehicle:
________________________________________________________________________
Parish Name:_____________________________________
Any health
issues/problems?___________________________________________