Hearts for Haiti sign up

Fill out the form below to sign up for Hearts for Haiti, or for more information contact us at 1-800-914-2420 x118 or JLawrence@CrossCatholic.org. After submitting this form, you will be contacted by a Cross Catholic Outreach representative.
Name of School/Group*
Name of Contact*
Position/Title of Contact*
Address*
Contact number*
Email address*
Website
Name of Parish affiliation
Diocese
Number of students*
Grade level (ex: K - 8)*