2022 LITE Parish Registration Form

Youth Ministers must complete and submit this form by Wednesday, June 8, 2022. Registrations received after this date are subject to availibility. A deposit payment of $75.00 per participant from your parish/organization can be paid online. Pay Online Here

PARISH INFORMATION

Parish REQUIRED Please fill out this field.

List Parish if "OTHER" Please enter valid data.

Pastor (Full Name) REQUIRED Please fill out this field. Please enter valid data.

Youth Minister/DRE/Youth Leader (Full Name) REQUIRED Please fill out this field. Please enter valid data.

Youth Minister/DRE/Youth Leader Phone or Email REQUIRED Please fill out this field. Please enter valid data.

Parish 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.

CONTACT INFORMATION

Full Name of Person Filling Out Registration Form REQUIRED Please fill out this field. Please enter valid data.

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

PARTICIPANT INFORMATION

Please use the space below to register up to three (3) LITE participants. Two additional spaces have been provided for a wait list. You can move students from your wait list up to your spots.