Youth Conference Registration Form

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Diocese of Pensacola‐Tallahassee 2016 Youth Conference Registration Form ‐ Youth Name of Parish_________________________________________________________ City _______________________________ Name ____________________________________________________________________________________________________ Gender (please check) ____Male ____Female Age________ Grade _________ Home Address_________________________________________________________ Parent’s Phone_______________________ In Case of Emergency Contact: ____________________________________________ Relationship_________________________ Phone Numbers________________________________________________________ Do you have any special dietary requirements (Please Check) _____Vegetarian _____ Food Allergies Do you have any special requirements (Please Check) ______ Visual _____ Mobility Other___________________________ _____ Hearing Describe your requirements:_______________________________________________________________________________________________ YOUTH CODE OF BEHAVIOR FOR DIOCESAN YOUTH CONFERENCE 1..

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