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Eucharistic Congress Youth Registration

- Faith Formation

Participants in grades 6-12 must pre-register for the event through their parish. Fillout the registration form and we will take care of it from there. Groups will have 3-7 students. If you'd like to be in a group with your friends, you and your friends should indicate that on the registration form and we will do our best to accomodate your requests. If you are a parent who would like to chaperone, please contact Austin Faur at afaur@ourladyoflourdescc.org
OUR REGISTRATION PAGE WILL CLOSE OCTOBER 1, 2023
The maximum number of form submissions has been reached. This form is currently not available.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Number of Students Registering REQUIRED Please fill out this field.
  
  Student 1
  
  Student First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Grade Level Fall of 2023 REQUIRED Please fill out this field.
  
  Student 2
  
  Student First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Grade Level Fall of 2023 REQUIRED Please fill out this field.
  
  Student 3
  
  Student First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Grade Level Fall of 2023 REQUIRED Please fill out this field.
  
  Student 4
  
  Student First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Grade Level Fall of 2023 REQUIRED Please fill out this field.
  
  Student 5
  
  Student First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Grade Level Fall of 2023 REQUIRED Please fill out this field.
- Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Email REQUIRED Please fill out this field. Please enter valid data.
- Mother's Email REQUIRED Please fill out this field. Please enter valid data.
- Father's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mother's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Additional Emergency Contact First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Special Needs or Allergies?
- Is there any additional information that would be helpful for our leaders to know?
- If possible, we will try to accommodate requests for you to be in a group with your friends. Is there anyone you would like to be in a group with?
- Interested in Chaperoning?
- Permission for Care REQUIRED In case of emergency, I give permission for the child named above to be taken to a physician or hospital by either a chaperone or by Church personnel. Please fill out this field.
- Insurance Co. Please enter valid data.
- Group # Please enter valid data.
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Eucharistic Congress Youth Registration

OUR REGISTRATION PAGE WILL CLOSE OCTOBER 1, 2023