Parish / School Name: 

This is for:   Parish only     School only    Parish & School combined

City: 

Contact Person: 

Tel:     Email:

Number of Booklets Needed              Description

                                          Parent Materials (English)

                                          Parent Materials (Spanish)

Date Ordered: 
  Please check here if no materials are needed.

Deadline to submit this form:     October 1, 2008

For for more information, contact the

Protection of Children and Youth Initiative Office

Tel:  651-251-7742  Fax:  651-290-1628  Email:  pcyi@archspm.org

Thank you.