Archdiocese of Saint Paul and Minneapolis

ATTENDEE INFORMATION

Attendee #1: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #2: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #3: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #4: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #5: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #6: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #7: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #8: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #9: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

Attendee #10: *

Email Address: *

Phone Number: *

Request CEU (Continuing Education Credit): *

Food Allergies:

Please select one of the following options:

Parish:

School:

Organization:

Are you associated with an additional Parish/School/Organization? *

If yes, please share the name(s) of any additional Parish/School/Organization:

First Name for Confirmation Email *

Last Name for Confirmation Email *

Email: *

A receipt will be emailed to this address.