2022 Conference Registration Form

E-Mail Address:

Mailing Address:

City/State/ZIP:

Telephone Number:

Parish Name:

Parish Location (City/State):

Diocese:

Membership Status:
---Active VergerAspiring MemberClergy

Polo Shirt Size:
---XSSMLXL2XL

Registration Fee Payment [$50]:
---Personal CheckOnline (via Zelle)