Diocese of Davenport

Davenport, IA

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NCYC Early-bird Ticket Commitment form

- Faith Formation

The maximum number of form submissions has been reached. This form is currently not available.
- This form is for Parish Group Leaders to complete and submit by January 26, 2023
- 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.
- Daytime Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parish/Cluster REQUIRED Please fill out this field. Please enter valid data.
- Parish/Cluster Town REQUIRED Please fill out this field. Please enter valid data.
- Indicate below the number of tickets you would like to purchase/order: REQUIRED Please fill out this field. Please enter an integer (number).
- A deposit of $150 per person is due by February 1, 2023.
- I understand that these tickets are nonrefundable and our group is responsible for covering the full cost associated with each ticket. Please select this field.
- Click on the Submit button to complete your form.
Submit

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