Youth Convention Registration
St. Mary and St. Martin de Porres
Attendee Name:
First Name
Last Name
Name for badge:
Attendee Phone Number
Please enter a valid phone number.
Date of Birth:
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Attendee's Status
Please Select
8th grade
9th grade
10th grade
11th grade
12th grade
Adult over 21
Shirt Size (adult sizes only):
Please Select
S
M
L
XL
2X
3X
4X
Attendee's Diet:
Regular diet
Vegetarian diet
Gluten Free diet
Any special needs:
Deposit of $60 required at registration:
Pay in person with Cash or Check
Pay online with Credit Card
Submit
Should be Empty: