Copy and paste the registration sheet (below) into Word, complete, and send to:
Sister Dorene King
McCabe Renewal Center
2125 Abbotsford Avenue, Duluth, MN 55803-2219
or email to: McCabeCenter@msn.com
Registration for “ALL THINGS APPLE”
Thursday, October 20 (8:00 a.m. to Noon) or
Friday, October 21 (an identical session)
For children in the 3rd and 4th grade
To be held at McCabe Renewal Center
2125 Abbotsford Avenue, Duluth
Please Print
Child’s name: _____________________ _____________________________
First Last
Name of Parent/guardian: ___________________ _____________________
First Last
Address: (mailing address) __________________________________________
(e-mail) __________________________________________
Phone number(s) Home:______________________ Work:__________________
Cell: _______________________
Circle one session: Thursday, October 20
Friday, October 21
What, if any, medical concerns (gluten intolerant, allergies, etc) would be important for the staff to know about your child? _____________________________________________
________________________________________________________________
Circle one: Yes No I consent to photos of my child being included on the McCabe Renewal Center website and in the St. Scholastica Monastery website and newsletter. No child’s name will be published.
In case of emergency contact:
(name & phone number) _________________________________________
Additional contacts, (friend, neighbor, relative)
_______________________________________________________________
Please identify child’s transportation provider:
Drop off _______________________________________________________
Pick up ________________________________________________________
Child will not allowed to go with anyone else
Suggested donation for the program: $20
Make check payable to: McCabe Renewal Center
_______________________________ ___________________
Signature of Parent/Guardian Date
If you have any questions contact Sister Dorene King at the McCabe Renewal Center, 724-5266.
Send completed form to:
Sister Dorene King
McCabe Renewal Center
2125 Abbotsford Avenue, Duluth, MN 55803-2219
or email to: McCabeCenter@msn.com