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PLSD Individual Registrations

- Faith Formation

Individual or Small Group Registration

Please complete the form below with the information for each individual you are registering. The confirmation email will only be sent to the person's email listed in the "Email Address for Receipt" field.

This registration is for three or fewer people from the same parish/cluster. If you have a group of 4 or more, please return to www.dbqarch.org/plsd and select "Registration for Groups of 4 or More."
The maximum number of form submissions has been reached. This form is currently not available.
- Name of Person Completing Form REQUIRED Please fill out this field. Please enter valid data.
- Email Address for Receipt REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parish/Cluster Name REQUIRED Please fill out this field. Please enter valid data.
- Parish/Cluster City REQUIRED Please fill out this field. Please enter valid data.
- Please select the number of registrants (including yourself, if you are participating) and then complete each participant's information (including yourself). Please ensure that each individual's preferred email address is entered correctly.
- How many people are you registering (including yourself)? REQUIRED Please fill out this field.
  
  Registrant 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parish/School REQUIRED Please fill out this field. Please enter valid data.
  
  Registrant 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parish/School REQUIRED Please fill out this field. Please enter valid data.
  
  Registrant 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parish/School REQUIRED Please fill out this field. Please enter valid data.
- Position/Role REQUIRED Pastor/Priest Deacon Pastoral Associate/Pastoral Minister Faith Formation Leader (e.g. CRE, Youth Min., Adult Evangelization) Other Parish Staff (e.g. bookkeeper, secretary, business manager) Volunteer Other Please fill out this field.
- Special Dietary Needs Please enter valid data.
- Registration49.0
Total:

Submit

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