The Catholic Education Institute St. Helena Hall, Suite 202 925 Hutchinson River Parkway Bronx, New York 10465

Substantially Catholic Seminar 2013

First and Last Name:

Address:

E-Mail Address:

Telephone:

Name of High School

Please check one

Are you:

Which track are you selecting in the seminar?

Will institution be covering the charges?yesno

Attendee 2 name

Email:

Which track are they selecting in the seminar?

Are you:

Attendee 3 name

Email:

Which track are they selecting in the seminar?

Are you:

For Additional Members please provide name,email,track and their position in the school:

After completing this form please make arrangements for payment.

Please make the check payable to the Catholic Education Institute and send to:

Catholic Education Institute

℅ Fr. John Piderit, S.J.

St. Helena Hall, Suite 202 925 Hutchinson River Parkway

Bronx, New York 10465

If you have any questions, please contact Joe Tassone at Marin CatholicHigh School via cell phone 415-215-8571 or email, jtassone@marincatholic.org.

Alternatively you can call Fr. John Piderit, S.J., at 718-823-8565.