Youth Conference Group Registration Form


*Group / Parish Name
*Group Leader Name
*Address Line 1
Address Line 2
*City
*State
*Zip/Postal Code
Country
*Home Phone
Cell Phone
Fax
*E-Mail
*Parish
Parish City
(Arch)Diocese
*Number of Female Chaperones
*Number of Male Chaperones
*Number of Girls Attending
*Number of Guys Attending
*Total Number Attending	x $115 per person
*How did you hear about the youth conference?	Friend/Relative Youth Group Web Site Flyer Print Ad Email
Questions or Comments
	Registration is not confirmed until a $25 per person deposit is received. After you click the "SUBMIT" button you will have the option to submit payment online.

Ave Maria University