The Frassati Society of Young Adult Catholics

Living in the Light:

Exposing the Darkness Around Us

First Name:

Last Name:

Spouse Name:

Address:

City:

State:

Zip:

Phone:

Email:

Date of Birth:

/ /

Sex:

M F

Occupation:

Parish:

Emergency Contact (Name and Number):

Special Needs:

Lodging:

Double $240

Quad $165

Other arrangements $105

Roomate Preference:

Are you a registered Frassati member?

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Would you like to receive email and newsletters from the Frassati Society?

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Please contact me about financial assistance for the conference:

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Number of conferences attended (Including this year):

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© 2008 Frassati Society of Young Adult Catholics

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