Form Page – Together in Holiness – Tyler – St. John Paul II Foundation

FOR LIFE AND FAMILY

Registration is now open for Together in Holiness in the Diocese of Tyler!
For questions, please email Conference Coordinator Sara Hayes at sara@forlifeandfamily.org.

Refund Information:
*If you are unable to attend the conference, after you have purchased your ticket, you may choose to transfer your registration fees to a scholarship couple in need, or request a refund.

All refunds must be requested 2 weeks prior to the conference. The last day to request a refund is Friday, October 11. All refund requests made on or after October 12 will not be accepted but the funds will automatically be transferred to a scholarship couple in need.

Exhibitor Information:
Exhibitors are subject to pre-approval. Please email Conference Coordinator Sara Hayes at sara@forlifeandfamily.org before completing this form.

How will you be attending the event? Are you a Couple, Individual, Ministry, or Vendor?*
General Information
Husband's Information
Representative #1 Information
Name*
First Last
Email Address*
Meal Choice*
Ticket Cost:
Price: $29.00
Wife's Information
Representative #2 Information
Name*
First Last
Email Address*
Meal Choice*
How long have you been married?*
What is the name of your ministry or organization?*
Exhibitors are subject to pre-approval. Please email Conference Coordinator Sara Hayes at sara@forlifeandfamily.org before completing this form.
Link for your organization's website, Facebook page, etc.:*
If none, please put "N/A"
Ticket Cost:
Price: $49.00
Ticket Cost:
Price: $85.00
Ticket Cost:
Price: $150.00
Do you have Children that need Childcare?*
How many need Childcare Services?*
Contact Phone for Childcare*
Child 1 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 2 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 3 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 4 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 5 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 6 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 7 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 8 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 9 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Does this child have any allergies or special needs?*
If none, please put N/A
Ticket Cost:
Price: $5.00
Child 10 Information
Name*
First Last
Child's Age*
Child's Grade Level*
Ticket Cost:
Price: $5.00
Which parish do you attend?*
Would you be interested in helping us spread the word about the conference to family and friends?*
Billing Information
Would you like to make a donation to sponsor scholarships for Together in Holiness?*
Donation
Price: $5.00
Donation
Price: $10.00
Donation
Price: $20.00
Donation Amount:
Billing Email*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Promo Code
Total Amount Due:
$0.00
Credit Card*

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Visa
Card Number Expiration Date Security Code Cardholder Name

TOGETHER IN HOLINESS
TYLER, TX

General Information

Husband's Information

Representative #1 Information

Wife's Information

Representative #2 Information

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Child 5 Information

Child 6 Information

Child 7 Information

Child 8 Information

Child 9 Information

Child 10 Information

Billing Information

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TOGETHER IN HOLINESSTYLER, TX