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Middle School Rise Up Payment

- Sunday, May 7, 2023 | 12:00 PM. - 7:00 PM
  
  Mount St. Joseph High School, 4403 Frederick Avenue, Baltimore, MD 21228
- Permission Form - fill out and send to Bob@ccasta.org
  
  Rise Up Permission Form
- Contact Us
  
  Bob Sutliff
  
  Director of Engagement for Youth
  
  410-242-2292
  bobccasta.org
- Registration for Rise Up
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Parent Name & Contact Info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent Cell REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  How many student registrants? REQUIRED Please fill out this field.
  
  Student Name 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Cell Maximum 20 characters Please enter a phone number.
  
  Current Grade REQUIRED 6th 7th 8th Please fill out this field.
  
  Allergies/other info Please enter valid data.
  
  Student Name 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Cell Maximum 20 characters Please enter a phone number.
  
  Current Grade REQUIRED 6th 7th 8th Please fill out this field.
  
  Allergies/other info Please enter valid data.
  
  Student Name 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Cell Maximum 20 characters Please enter a phone number.
  
  Current Grade REQUIRED 6th 7th 8th Please fill out this field.
  
  Allergies/other info Please enter valid data.
  
  Registration fee includes dinner35.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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Middle School Rise Up Payment

Sunday, May 7, 2023 | 12:00 PM. - 7:00 PM

Mount St. Joseph High School, 4403 Frederick Avenue, Baltimore, MD 21228

Permission Form - fill out and send to Bob@ccasta.org

Contact Us

Registration for Rise Up

Ascension Church

St Augustine Church

Ascension Church Church: 1527 Potomac Avenue Office: 4603 Poplar Avenue Halethorpe, MD 21227 410-242-2292	St Augustine Church 5976 Old Washington Road Elkridge, MD 21075 410-796-1520