CW Post Newman Parish
The Newman Catholic Parish
C.W. Post Chapel
720 Northern Blvd
Brookville, NY 11548
516-299-2229
Member Information
Fill in the information below to register into the Campus Parish
*
First Name
*
Last Name
Date of Birth MM/DD/
*
I am:
Student
Faculty
Staff/Administrator
Alumni
Other
Parent
Parent of
*
I am:
Honors Student
Athlete
Theater Student
Music Student
None of the above
*
Name of Emergency Contact
*
Emergency Contact Phone Number
Class of:
Residence Hall and Room #
*
T-Shirt Size
*
Home Address
*
City
*
State
*
Postal Code
*
Cell Phone
*
Email Address
*
AIM Screen Name
I would like to be a member of the Newman Club
Yes
No
*
Contact me via email with club information and announcements.
Yes
No
I would like to:
Read at Mass
Give Communion
Greet at Mass
Join the Music Ministry
Become Catholic
Be Confirmed
Meet with a priest
*
Student ID Number
*
Indicates Response Required