Site hosted by Angelfire.com: Build your free website today!
St

Rounded Rectangle: ST. ROSE OF LIMA/SAN DAMIANO
 YOUNG ADULTSí GROUP
MEMBERSHIP APPLICATION
 

 


The St. Rose of Lima Young Adults' Group is dedicated to serving the spiritual, as well as the social needs of Catholics in their 20's and 30's, regardless of their marital status (single, married, etc.).Dues for the balance of 2000 are $5, which entitles the member to our monthly newsletter, as well as discounts at various group events.Please make checks payable to "St. Rose of Lima Young Adults' Group." For more information on the group, please contact Eric at 216-221-3472or Kathleen at 440-871-4075.

 

Name:_________________________________________________________________

 

Address: _______________________________________________________________

 

City:_____________________________ ††† Zip:________†† Home Ph._____________

†††††††††††††††††††††††††††††††††††

Email Address:_____________________†† Birthdate:____________††† Age________

 

Home Parish:††† ______________________Marital Status:†† ______________________

 

How did you find out about the group?

 

Please rate your interest in various activities on a scale of 1 - 4 (1 = not interested,

††††† 4 = very interested)

 

Spiritual

 

Bible Study / Catechism Study/ Books Club††††††††††††††††††††††††††††† ________

Group Holy Hour†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Menís Group/Womenís Group†††††††††††††††††††††††††††††††††††† ________

Pilgrimages/Conferences (Steubenville, etc.)††††††††††††††††††††††††††††† ________

Other(s) (Please write in)___________________________________________________

††††††††††††††††††††††††††††††††††† ††† ___________________________________________________

≠≠≠≠≠≠≠≠≠≠

Social

 

Concerts††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Sporting Events††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Restaurants†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Movies†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Athletic Activities (Volleyball, Bowling, Softball)††††††††††††††††††††††† ________

Dancing (Swing, Ballroom, other)††††††††††††††††††††††††††††††††††††††††††††† ________

Drama / Plays†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Other(s) (Please write in)≠≠≠≠≠≠≠≠≠≠≠___________________________________________________

††††††††††††††††††††††††††††††††††† ††† ___________________________________________________

†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

Service

 

Visiting shut-ins†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Pro-life work††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Assist with group/parish fundraising†††††††††††††††††††††††††††††††††††††††††† ________

Habitat for Humanity†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Other(s) (Please write in)††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

 

 

I would be interested in possibly assisting the group in one of the following areas (please check):

 

Newsletter Committee††††††††††††††††††††††††††††††††††††††††††††††††† ________

Spiritual Committee††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Social Committee†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Athletic Committee†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Service Committee†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ________

Other (Please write in)____________________________________________________

 

Unconditional Waiver of Liability:

 

The undersigned, in condition of a member or a guest to St. Rose/San Damiano Young Adults' Group, hereby, absolutely, unconditionally and irrevocably waives any and all liability or claim thereto that the undersigned may have against St. Rose of Lima Church, St. Rose/San Damiano Young Adults' Group, its officers, and its individual members, as a result of any and all activities, functions, outings, and other social events of every nature, type, and description whatsoever, and agrees to hold St. Rose of Lima Church,

St. Rose/San Damiano Young Adults' Group, its officers, and its individual members harmless from any and all cost, damage, expense, or liability resulting from any such claim.

 

Name (Please print): ††† ______________________________________________________

 

Signature:†††††††††††††††††††† ______________________________________________________

 

Date:††††††††††††††††††††††††††† ______________________________________________________

 

Please return this form to any group event or mail to:

 

St. Rose of Lima Young Adultsí Group

11411 Detroit Avenue

Cleveland, OH 44102

Email: hlmary@hotmail.com

 

Group Website:www.angelfire.com/oh2/stroseyoungadults

 

Back to St. Rose Young Adults' Home Page