2017 ACYOA Leadership Conference November 17-19, 2017
St. Iakovos Retreat Center, 920 224th Avenue, Kansasville, WI 53139
Personal Information
First Name
Your answer
Last Name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Email
Your answer
Cell Phone
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Please select a T-shirt size
Please make us aware of any dietary restrictions, food allergies, or medical conditions you may have to help us best accommodate you during the conference.
Your answer
Travel Information
Please indicate how you will be traveling to the conference
*If you are traveling by bus, train or plane and will require transportation to the Conference Center from bus/train station or airport, please contact Melissa Mardoian at melissamardoian@gmail.com or 847-421-9071 no later than November 6.
Are you currently in college?
If so, name of college:
Your answer
Are you currently employed?
What is your parish affiliation?
Please include Parish name/City/State
Your answer
Does your parish have an organized ACYOA Seniors Chapter?
Do you currently hold a leadership position in your parish, other than ACYOA?
If so, please explain:
Your answer
Have you attended ACYOA Leadership Conference in previous years?
If yes, which years?
Your answer
Please read the important information below:
Code of Conduct
*
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms