St. John Vianney Church
CCD Registration
Volunteer Information
First Name:
First Name is a required field.
Last Name:
Last Name is a required field
Address 1:
Address 1 is a required field
Address 2:
City:
City is a required field
State:
MD
VA
State is a required field
Zip Code:
Zip Code is a required field
Zip Code must be 5 numeric digits
Home Phone:
(10 numeric digits)
Home Phone is a required field
Phone Number must be 10 numeric digits
Cell Phone:
Must be 10 numeric digits
E-mail:
E-mail Required
Not a valid E-mail address.
Re-enter Email:
E-mail Required
Not a valid E-mail address
Volunteer For:
Teacher
Teacher Aide
Substitute
Office
Other
Required Field
Day:
Sunday
Monday
Tuesday
Wednesday
Grade:
K
1
2
3
4
5
6
7
8
9
Notes:
Please check your information before submitting.