March Diocesan Youth Event

Name of participant *

Participant cell phone number *

Date of birth and age *

Parent/guardian name *

Parent/guardian email address *

Parent/guardian phone number(s) *

Does your teen require transportation from Regina, Moose Jaw or Swift Current to Maple Creek on March 5? *

Yes

Does your teen require transportation from Maple Creek back to Swift Current on March 6? *

Yes

Does your teen require transportation from Swift Current back to Moose Jaw or Regina on March 7? *

Yes

Does your teen have any dietary restrictions? *

Does your teen have any medical conditions that we need to be aware of? (You will be asked to complete a medical form for your teen prior to the event.) *

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March Diocesan Youth Event