Archdiocese of Philadelphia

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Welcome! Please use the form below to register for the Eucharistic Congress on September 30, 2023.

Registration cost:

$25.00 per person (adults age 18 and up, English or Spanish track)
$10.00 for college students attending the College Track
No charge for Children's Track (ages 6-13) or Teen Track (ages14-17)
No charge for clergy, but please use this separate link to register.

This is an open event and parents/guardians are solely responsible for any child/children under the age of 18.

Please note: In order to complete your registration, be sure to click through all the way through to the "Confirmation" page. You should receive an email receipt confirming your registration.

Qty

Description

Amount

Total

Adult Registration - English Track

$25.00

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Adult Registration - American Sign Language Track

$25.00

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Registración - Sesión en español / Spanish Track

$25.00

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Adult Registration - College Track (College Students)

$10.00

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Teen Track Registration (ages 14-17)

$0.00

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Children's Track Registration (ages 6-13)

$0.00

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Total: $0.00

Registration Information

First Name/Nombre: *

Last Name/Apellido: *

Billing Address/Dirección de envío: *

This is the address where your credit card statements are mailed.

Address 2:

City/Ciudad: *

State / Province: *

Zip Code/Código postal: *

Country: *

Telephone/Teléfono:

E-mail/Correo electrónico: *

A receipt will be e-mailed to this address.

Parish/Institution-Parroquia/Institución: *

Please indicate your agreement: *

I acknowledge that this event may be recorded, and on behalf of myself and all persons registered by me, including any other adult, teen or child, give permission for our names and/or images to appear on any Archdiocesan or parish websites, newspaper articles, social media, broadcasts or similar media or form, whether in photographs or videos, and to be live-streamed or recorded during the liturgies and events associated with the Eucharistic Congress for use or distribution by the Archdiocese of Philadelphia.

Special Needs/Necesidades especiales:

Low gluten host?

Please check here if you require a low gluten host at Mass.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *