Basic Formation for Missionary Disciples Registration 2017-2018
Personal Information
Name
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Preferred Name for Nametag
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Street Address
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City and State
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Zip Code
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Email address
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Home Phone Number
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Cell Phone Number
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Preferred Phone Number for Important Announcements
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Birthdate
MM
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DD
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YYYY
Ethnicity/Race (optional – for statistical purposes)
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Current Parish
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Year joined
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Sponsoring Parish or Institution and City
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Pastor or Supervisor
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Location - Sign up for the Entire Program
Part I: Evangelization 101 Retreat (October); Part II: Mission to the People in the Pews (Five Weeks in the Fall); Part III Mission to People on the Margins of Our Parish (Five Weeks in the Winter); Part IV: Mission to People in the Community (Five Weeks in the Spring)
Location - Sign up for Individual Components - Check all that you want to attend
Do not complete this section if you registered for the entire program above.
Schedule and Fees
Schedule and Fees
Ashtabula - St. John School
Stark County - St. Thomas Aquinas & Various Location
Not Attending this Component
Evangelization 101 Retreat (One Day)
Mission to People in the Pews (Five Weeks in the Fall)
Mission to People on the Margins of Our Parish (Five Weeks in the Winter)
Mission to People in the Community (Five Weeks in the Spring
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