SY 2019-2020 Registration
Register with CCM and show the confirmation page to one of our student leaders to get your free t-shirt!
Basic Demographic Information
Name
*
Email
*
This address will receive a confirmation email
Cell Phone
*
What school do you attend?
*
Please select one option.
JMU
EMU
Bridgewater
Blue Ridge
Expected College Graduation Year
*
Please select one option.
2019
2020
2021
2022
2023
2024
Major
T-shirt Size
*
Please select one option.
Small
Medium
Large
X-Large
XX-Large
Parent Information
Dad's First Name
*
Mom's First Name
*
Parent Phone Number
*
Home Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent's e-mail
*
Home Parish
Need a Sacrament?
Please select one option.
I am interested in receiving my first communion/confirmation.
I am interested in becoming Catholic.
I am not Catholic but I am interested in learning more.
Oops, I accidentally clicked this and now I can't un-click it!
Get Involved
Please select all that apply.
Help plan social events
Serve at Mass as a lector, altar server, or Eucharistic minister
Plan ways to help deepen faith lives of students
On campus outreach
Service: local food pantry, mission trips, and more!
Help with social media and advertising
Sing or play an instrument at Sunday Mass
More Opportuntites
Please select all that apply.
Knights of Columbus
Women's Group
Intramural Teams
Pro-Life Ministry
Are you interested in joining a small group?
Please select one option.
Yes
No
Maybe
Would you like to join a Bible study?
Please select one option.
Yes
No
Maybe
Anything else you'd like us to know or other ways you'd like to be involved? We'd love to hear from you!
Submit
Description
Register with CCM and show the confirmation page to one of our student leaders to get your free t-shirt!
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