Salve Regina Newman Center
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​2020 STUDENT REGISTRATION FORMS
​
SALVE REGINA NEWMAN CENTER
SPRING BREAK MISSION TRIP


1.     Please download and complete the following EUREKA COLLEGE's Medical Information Release form (one page) ...
step_06-02_blank_ec_medical.pdf
File Size: 91 kb
File Type: pdf
Download File

​2.     Please download and complete the CATHOLIC DIOCESE OF PEORIA's ​ two page Medical Information and Authorization for Emergency Medical Treatment/Overnight Activity form.  This form needs to be NOTARIZED; SO FILL OUT THE FORM BUT DO NOT SIGN THE DOCUMENT UNTIL THE NOTARY IS PRESENT.  You can get the document notarized for FREE at the EUREKA COLLEGE's BUSINESS OFFICE...
step_06-03_blank_cdop_medical.pdf
File Size: 62 kb
File Type: pdf
Download File

2.     Please download and complete HABITAT FOR HUMANITY's ​ two page Release and Waiver of Liability document...
step_06-04_blank_habitat_form.pdf
File Size: 667 kb
File Type: pdf
Download File

Contact Us
SALVE REGINA 
NEWMAN CENTER
108 E. College Avenue
Eureka, Illinois 61530
(309) 467-2646
  • HOME
  • Sacraments & More
    • Mass Schedule
    • Guide to Reconciliation
    • Divine Mercy Tutorial
    • Stations Of The Cross
    • The Rosary
  • Trips
    • 2020 Mission Trip >
      • 2020 Mission Trip Pre-Registration Form
    • 2019 Mission Trip Video
    • 2018 Mission Trip Video
    • 2017 Mission Trip Video
    • 2016 Mission Trip
    • 2015 Mission Trip Video
    • 2014 Mission Trip Pictures
    • 2013 Mission Trip Videos
    • 2012 Mission Trip Pictures
    • 2009 Spring Break Mission Trip
    • FOCUS
  • ProLife
    • TED ProLife Video
    • The Truth about Contraception
    • Women's Care Center
  • Maps
    • Salve Regina Newman Center
    • St. Catherine Newman Center
    • St. Francis Newman Center
    • St. Joseph Newman Center
    • Newman Club
    • St. John Paul II Newman Center
    • St. John Newman Center
  • Before & After
  • Alumni & Friends