2018 Diocese of Yakima Youth Convention Registration
Please complete the following form.

The conference cost is:
$40/youth, chaperone, group leaders for early registration before October 12th
$45/ youth, chaperone, group leaders for regular registration from October 13h – October 19th
$50/ youth, chaperone, group leaders for late registration October 20th – November 2nd
We will be following these registration dues very strictly.

Your parish will receive an invoice after the event.

Group Leader
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Parish
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Address
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Best Phone Number To Reach You
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Email Address
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Number of Male Chaperones
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Number of Female Chaperones
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Number of Male Youth
Your answer
Number of Female Youth
Your answer
Total Number of Attendees
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Is this the first time your parish will be attending the Diocesan Youth Convention?
Total Registration Cost
The conference cost is: $40/youth, chaperone, group leaders for early registration before October 12th $45/ youth, chaperone, group leaders for regular registration from October 13h – October 19th $50/ youth, chaperone, group leaders for late registration October 20th – November 2nd
Your answer
Please note that we cannot guarantee the correct t-shirt sizes if your group registers after the October 19 regular registration deadline.
Number of T-Shirts (Adult Small)
Your answer
Number of T-Shirts (Adult Medium)
Your answer
Number of T-Shirts (Adult Large)
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Number of T-Shirts (Adult X-Large)
Your answer
Number of T-Shirts (Adult XX-Large)
Your answer
Does your group have any special needs or food allergies that our planning committee should know about?
Your answer
If you need to register extra attendees after submitting this registration form, please complete a new form. Do not attempt to edit this current form. Thank you!
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