Young Couples Conference 2019 Venue: Church Park Convent,Anna Salai,Chennai
April 28, 2019 - Sunday | 9.00 AM - 6.00 PM | Holy Mass included
Registration will close at 12 midnight on Wednesday, April 24, 2019

Registration fee 500 INR per family ( includes welcome kit, morning tea / coffee with biscuits,Lunch, evening tea/coffee with snacks and a parallel program for children aged 4+)

Payment can be made by Google pay to Jose at 97890 66590 or by Cash

Note: Your registration will be included in the participants list only once payment is completed.
There will be no on-the-spot registration or payment

Husband's full name *
Your answer
Wife's full name *
Your answer
Name of your parish & location ( for catholics)
Your answer
Primary contact number *
Your answer
Alternate contact number
Your answer
Primary email ID *
Your answer
Alternate email ID
Your answer
Childrens Full Name , Age and Gender ( only if they are attending the program) Mention NONE if they are not coming or if you don't have kids *
Your answer
Meal preference *
Beverage *
Payment ( INR 500 per family ) *
For cash payments mention the full name and contact number of the person who collected it
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service