This form is for current UTSA students registering for St. Anthony Catholic Student Center - UTSA membership.

STUDENT INFO
Name *
Name
Phone *
Phone
Address
Address
Classification: *
Gender: *
AREAS OF INTEREST
I would like to help at Mass as:
I would like to participate in:
I am interested in:
I am interested in the following retreat/s:
EMERGENCY CONTACT INFO
Name of emergency contact *
Name of emergency contact
Phone Number *
Phone Number
Address
Address
If different from yours.