2008
Training Christian Leaders Youth Leadership Institute July 31st-August 3rd, 2008
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ONLINE REGISTRATION
Instructions: Fill out all information completely. DO NOT HIT THE ENTER KEY! THIS WILL SUBMIT YOUR INFORMATION! Use the TAB key or the mouse to advance to the next space to fill in. Hit the SUBMIT button at the bottom of this form when you are done.
Parish, School or Cluster: Adult Sponsor Name:
Number of Youth Registrations: Select 1 2 3 4 5 6 (Clusters Only) 7 (Clusters Only)
Name: Phone:() Email:
Address: City: Zip:
Date of Birth: Day: Select 010203 0405 060708 0910 111213 1415 161718 1920 212223 2425 262728 293031 Month: Select Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec Year: Select 1989 1990 1991 1992 1993 1994 1995 Gender: Select Male Female
Parish: School: Graduation Year: Select 2009 2010 2011 2012
If you have no more youth, click here to go to enter adult information.
Total Number of Adult Sponsor Registrations: Select One Two Three
City: State: Zip: Email:
Phone with area code: () (home) () (work)
Title or Leadership Role:
Gender: Select Male Female Sponsor Option: Choose One Option 1: Attend all weekend ($165) Option 2: Attend all day Sunday ($25) Option 3: Attend Sunday afternoon ($25)
If you have no more adults to register, scroll down to the SUBMIT button.
Click here to return to the top of the form and double check your information before submitting.
If your information is correct, please hit the "Submit" button below. You will be taken to a page where you can print out of the information you submitted. From there you will be given the link for your payment instructions to complete your registration.