Threshold Registration

After finishing this online registration form, please print and fill out the

 Child Comprehensive Medical Release & Permission Form if under 18

and the Consent and Medical Forms and mail to:

Diocese of La Crosse

Office of Vocations - Threshold Retreat

P.O. Box 4004

La Crosse, WI 54602-4004

2011 Threshold Registration Form
Participant's Name:*
Birth Date:*
Sex:*	MaleFemale
Parent/Guardian's Name:*
Street Address: *
City: *
State:*
Zip Code:*
Telephone: (home)*
Telephone: (mobile)
E-Mail:*
Parish:*
City:*
Which year of school are you entering in 2010-2011? *
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