2017 ACYOA Leadership Conference November 17-19, 2017
St. Iakovos Retreat Center, 920 224th Avenue, Kansasville, WI 53139
Personal Information
First Name
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Last Name
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Date of Birth
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Cell Phone
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Street Address
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Zip Code
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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.
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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:
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Are you currently employed?
What is your parish affiliation?
Please include Parish name/City/State
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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:
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Have you attended ACYOA Leadership Conference in previous years?
If yes, which years?
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Please read the important information below:
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