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Eucharistic Congress Youth Program - October 21, 2023

- FORMS
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    Eucharistic Congress Youth Program
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    Space Request Form

This is a wonderful opportunity for youth to experience a program similar to NCYC or Steubbenville conferences right here in Raleigh. The Youth Track requires pre-registration through St. Matthew. There is a requirement of one adult for each 7 youth attending. Those adults must complete Safe Environment Training and a background check.

Please complete the form below and then you will be sent a release form to complete.
The maximum number of form submissions has been reached. This form is currently not available.
- Parent Email REQUIRED Please fill out this field. Please enter valid data.
- Parent Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- I am willing to chaperone this event REQUIRED Yes Not at this time Please fill out this field.
- Additional Youth Attendees REQUIRED Please fill out this field.
  
  Youth Attendees 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Youth Attendees 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Youth Attendees 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Youth Attendees 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Youth Attendees 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Youth Attendees 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
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