Youth Day 2019 Registration (St. Juliana Falconieri)
Event Date/Time: March 21, 2018 | 8:00AM-4:00PM
Event Location: Anaheim Convention Center
Event Cost: $35 per teen (bring sack lunch or cash to purchase lunch)
Registration Deadline for St. Juliana Teens: February 24, 2019

Please print and fill out permission slip:

Teen's First Name *
Your answer
Teen's Last Name *
Your answer
Teen's Gender *
Teen's Grade *
Confirmation Year *
Best Parent Contact Name *
Your answer
Best Parent Phone Contact Number *
Your answer
Best Email Contact *
Your answer
As an adult, I am able to Chaperone (21+ years) - (No additional cost to chaperone) *
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