EmailMe Form - ETN New Beginnings #5 Registration Form

Name *

First Last

Preferred Name

Gender *

Male

Female

Date of Birth *

MM / DD / YYYY

Phone *

### - ### - ####

Email *

I am registering as: *

Youth Participant (grades 6-8)

Youth Team Member (grades 9-12)

Adult Volunteer

Year in School *

Home Parish: *

Youth Director/ Clergy:

Vegetarian? (Including Lenten Disciplines): *

Yes

No

Vegan

Gluten Intolerant? (Including Lenten Disciplines): *

Yes

No

T-Shirt Size: (Adult sizes) *

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