ACOY Under 16's Spiritual Day Retreat 2026 Registration
Attendee details
Name
*
First Name
Last Name
Date of birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Parish
Please Select
St George’s - Thornbury
St Nicholas - East Melbourne
St Mary’s - Yarraville
Good Shepard - Clayton
Holy Cross Mission - Kalkalo
Other
Other parish
Dietary requirements
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Emergency contact
Name
*
First Name
Last Name
Relationship with person
Date of birth
*
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Emergency contact MUST be the guardian.
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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