Registration for Bus, Hotel, and Ticket to the National Eucharistic Congress
How many people will be going to the Congress?
*
Type of Hotel Room(s) Needed
Please note that if you want to share a room you must let us know who your roommate is.
Type of Room
*
Single Room
2 People to a Room
3 People to a Room
4 People to a Room
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Name of Roommate #4
*
First Name
Last Name
Age
*
Child (12 & Under)
Youth
Adult (18+)
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Roommate #3
*
First Name
Last Name
Age
*
Child (12 & Under)
Youth
Adult (18+)
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Roommate #2
*
First Name
Last Name
Age
*
Child (12 & Under)
Youth
Adult (18+)
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Roommate #1 (Or a Single Room)
*
First Name
Last Name
Age
*
Child (12 & Under)
Youth
Adult (18+)
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Name of the Contact Person & the Person(s) to be Billed:
Will one (or more) of the Roommate(s) be paying for themselves? If so, please enter their contact information:
Name (Main Contact and Person to be billed)
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: