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- Eucharistic Congress

Adult and family registration
The maximum number of form submissions has been reached. This form is currently not available.
- Download Print Version
  
  This form is to register:
  
  Adults
  
  Married couples
  
  Children's program (Saturday 10:45am-3:45pm)
  
  Add a teen to a parent registration for the Teen Leadship track (Saturday 11am-4pm)
  
  If you want to register an individual teen or group of teens for the Teen Leadership Track on Saturday (11:00am-4:00pm), click here
  If you are a Parish Coordinator registering a group of parishioners from your parish/mission, click here
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Best Email REQUIRED Please fill out this field. Please enter an email address.
- You will receive a confirmation email. Please check your spam if you do not see it.
- Parish Name Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Congress registration REQUIRED 35.0 – One adult Please fill out this field.
- My spouse will join me
  10.0 – Yes
- Spouse's name Please enter valid data.
- Add more adults35.0
- How many? Maximum 5 characters Please enter an integer (number) from 0 to 5.
- Additional adult name(s) Please enter valid data.
- Will you be bringing your children?
  5.0 – Yes (fee covers all children)
- How many kids (potty-trained through age 12) will participate in the children's program Saturday (includes lunch)?
- Name(s) and age(s) of children:
- Parent/Guardian phone number Maximum 20 characters Please enter a phone number.
- Will any of your teens participate in the Teen Leadership track Saturday?
  10.0 – Yes (includes lunch)
- How many teens (13-18 years old) will participate in the Teen Leadership Track on Saturday?
- Name(s) and age(s) of teens:
- Parent/Guardian phone number Please enter valid data.
- Contact me about a financial scholarship Yes
- Would you like to add a donation to the Eucharistic Congress? $ Please enter a positive decimal.
- Transaction will appear as a charge to 'St. John the Evangelist' on your credit card statement.
Total:

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