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ACYC 2022 Group Registration

- ACYC 2022
  
  February 18-20, 2022
  Perdido Beach Resort, Orange Beach, AL
- Group Registration Form
  
  To be completed by group leader/youth minister
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Payments for groups may be made online here or they may be mailed to:
  Archdiocese of Mobile - Office of Youth Ministry
  Attn: ACYC 2022
  352 Government Street
  Mobile, AL 36602
  
  Make Checks Payable to: Archdiocese of Mobile
  
  Hotel room payments are to be paid directly to the hotel.
  
  Parish REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Address
  
  Mailing 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.
  
  Group Leader Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Attendees
  
  Number of Adult Chaperones REQUIRED Please fill out this field. Please enter valid data.
  
  Number of Youth Attendees REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Order
  
  Adult Small Please enter an integer (number).
  
  Adult Medium Please enter an integer (number).
  
  Adult Large Please enter an integer (number).
  
  Adult XLarge Please enter an integer (number).
  
  Adult 2XLarge Please enter an integer (number).
  
  Adult 3XLarge Please enter an integer (number).
  
  Adult 4XLarge Please enter an integer (number).
  
  Payment Information
  
  Adult Chaperones REQUIRED Please fill out this field. Please enter an integer (number).
  
  Adult Chaperone Payment125.0
  
  Youth Attending REQUIRED Please fill out this field. Please enter an integer (number).
  
  Youth Payment150.0
  
  Please remember to send a completed registration form and liability release form for each person attending with your group. Please also send a signed code of behavior for each youth. No youth will be registered without all 3 signed forms.
  
  I have read and will comply with all requirements of ACYC Registration. REQUIRED I Agree. Please fill out this field.
  
  Total:
  
  Submit
  
  Pay Now
  
  Pay Later
  
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