NEC Information for individual tickets

Information

This form is for registering for the National Eucharistic Congress in Indianapolis, Indiana. You will need to complete this form and pay the $200 (per-person) ticket.
Questions?
Please contact Melly Andrade at GAndrade@fwdioc.org or 817-945-9357.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address *

Street Address

Street Address (Cont.)

CityState / Province

Zip Code

Age
Gender*
Ethnicity*
Dietary Restrictions (Please check all that apply.)*

NoneDairy FreeGluten FreeNut FreeShellfish FreeSoy FreeVeganVegetarianOther

To ensure all of our attendees enjoy their experience at the National Eucharistic Congress and to comply with the Americans with Disabilities Act, we are requesting all registrants indicate whether they will need special accommodations to participate at the event and we will do our best to accommodate those requests.*

Yes - I will require special accommodations in order to participate at the conference.No - I will not require special accommodations.
Emergency Contact*

First NameLast Name
Onsite Emergency Contact Phone*
Please enter a valid phone number.

If you are a college graduate, there may be opportunities on-site for alumni meet-ups. If you would be interested in taking part in those, please provide the following:
What university did you graduate from? (Please use official name of your college. Ex. "University of Colorado at Boulder")
What year did you graduate from university?