YL 2018 Participant Registration Form
Welcome to YouthLeader 2018! Please fill out this form completely and do not hesitate to let us know if you have any questions! Phone: (204) 452 - 2227 ext. 228; E-Mail: youth@archwinnipeg.ca.
I am: *
First Name *
Your answer
Last Name *
Your answer
Name to put on name tag: *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Please check: *
Required
E-Mail Address (Participant) *
Your answer
Address *
Include your postal code.
Your answer
Home Phone *
Your answer
Mobile Phone
If applicable
Your answer
Parish/School/Organization *
Your answer
Any medical conditions? *
Put "n/a" if there's none we should be made aware of.
Your answer
Any food restrictions? *
Put "n/a" if there's none we should be made aware of.
Your answer
Would you like us to include you in our online mailing list to receive news about Youth/Young Adult/Family events in the Archdiocese of Winnipeg?
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