Catholic Campus Ministries/Registration2025-2026/Pensacola, FL

Type of Registration REQUIRED

New Member: Have never been to CCM before. This will include transfer students and freshmen. Renewing Membership: Returning students to update their information.

New CCM Member Renewing CCM Membership Please fill out this field.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

School REQUIRED University of West Florida Graduate Student (UWF) Pensacola State College College-Age (18-24) Trade School Please fill out this field.

Shirt Size REQUIRED

New students will receive official CCM Merch.

Please fill out this field.

First Year on Campus? REQUIRED Yes No Please fill out this field.

Are you living on Campus REQUIRED Yes No Please fill out this field.

If so, what dorm? REQUIRED Please fill out this field.

Anticipated Graduation Date REQUIRED Please fill out this field. Please enter a date.

School Identification Number REQUIRED

Non-Students put - 000

Please fill out this field. Please enter valid data.

What is your major? REQUIRED Please fill out this field. Please enter valid data.

Are you interested in helping at the 4:30 pm Student Mass? REQUIRED Yes No Please fill out this field.

If so, how would you like to help? (check all that apply). REQUIRED Lector Altar Server Extraordinary Minister of Holy Communion Sacristan Ushers Music N/A Please fill out this field.

What parish did you attend (home parish) prior to arriving at UWF/PSC? REQUIRED Please fill out this field. Please enter valid data.

Mother's Name Please enter valid data.

Father's Name Please enter valid data.

Parent(s) Mailing Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

This address is for ... Father Mother Both

Are you interested in the Discilpship Program? REQUIRED Yes, I would like more information. No I am already in Discipleship Please fill out this field.

Have you received your Confirmation? REQUIRED Yes No N/A (not Catholic) Please fill out this field.

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Registration
2025-2026

2025-2026 REGISTRATION

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