2017 ACYOA Leadership Conference November 17-19, 2017
St. Iakovos Retreat Center, 920 224th Avenue, Kansasville, WI 53139
Date of Birth
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.
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
or 847-421-9071 no later than November 6.
Are you currently in college?
If so, name of college:
Are you currently employed?
I am not working at this time
What is your parish affiliation?
Please include Parish name/City/State
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:
Have you attended ACYOA Leadership Conference in previous years?
If yes, which years?
Please read the important information below:
Code of Conduct
I have read the Code of Conduct, and I acknowledge and accept the terms listed above
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