ChristLife Training: Part 1 Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parish, School or Catholic Institution REQUIRED Please fill out this field. Please enter valid data.

I am a: REQUIRED Priest Deacon Religious/Consecrated Lay Please fill out this field.

I serve my community in the capacity of: Clergy team member Parish lay minister School leader/employee Volunteer

Other roles in which I serve my community: Please enter valid data.

I have led or participated in the following (check all that apply): Alpha Discovering Christ Following Christ Sharing Christ

Other small group evangelization effort(s): Please enter valid data.

Dietary restrictions: REQUIRED Gluten Free Dairy Free Vegetarian Vegan None Please fill out this field.

Any other dietary restrictions? Please enter valid data.

I would like a traveler’s meal on Friday, at 6:00 pm (soup and sandwiches), before the event begins. REQUIRED Yes No Please fill out this field.

I am interested in attending all or part of the training virtually via Zoom. REQUIRED Yes No Please fill out this field.

Payment REQUIRED Please fill out this field.

The ChristLife Process and Discovering Christ