The Union of Black Episcopalians - Northeast Regional Conference - Youth Registration
The 2019 Northeast Regional Conference of the Union of Black Episcopalians will take place May 3-4, 2019 in Niagara Falls, New York. This Conference is hosted by the Bishop James Theodore Holly Chapter, in the Diocese of Western New York.

Please use this form to register youth participants for this conference.

Last Name *
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First Name *
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Mailing Address *
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City *
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State *
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Zip Code *
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Phone Number with Area Code *
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Email Address *
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Diocese *
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Chapter *
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I am/am not interested in visiting the Underground Railroad Museum on Friday, May 3.
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