Make It or Break It Registration Form
Email address
First Name
Your answer
Last Name
Your answer
Email Address (that you will be checking)
Your answer
Will you be 18 or older by August 5th, 2017?
What year did you graduate high school?
Your answer
What high school did you attend?
Your answer
What year in college are you going into this fall?
Your answer
What college do you attend or will be attending?
Your answer
What parish are you a member of?
Your answer
Did you attend a youth group or HSA?
By clicking here I give permission to the organizers to take photos and videos that include me and to use these images to promote the mission of the Diocese of Bridgeport.
Do you have any dietary restrictions?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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