Teen Night Registration

Contact Information

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Child One's Name

Child Two's Name:

Child Three's Name:

Child Four's Name:

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**Photos may be taken of students attending Teen Night at the Crossings Center to be posted on the St. Rose of Lima website and bulletin boards. Photos that appear online will not identify any student by name.

Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.