Registration is now open for Together in Holiness in the Diocese of Beaumont!

For questions, please email the conference coordinator at [email protected].

Exhibitors
Exhibitors are subject to pre-approval. Please email the conference coordinator at [email protected] before completing this form.

Scholarships
We recognize that many families are struggling during these times. If you need assistance with the cost of the conference, we encourage you to apply for a partial or full scholarship (click here); if you feel called to contribute to our scholarship fund, you can do so at the time of registration.

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, March 21. All refund requests made on or after March 22 will not be accepted but the funds will automatically be transferred to a scholarship couple in need.

"*" indicates required fields

Please select your ticket type.*

Select OneCoupleIndividualMinistry (Non-Profit)Vendor (For-Profit)

Pre-approval for exhibitor tables is required and space is limited. Please email [email protected] prior to completing this form.

Exhibitor Approval Code*

Please enter the code you received from the conference coordinator upon approval.

General Information

Husband's Information

Representative #1 Information

Name*

Please select your prefixMr.Dr.Mrs.Ms.Rev.Dcn.Br.Sr. Prefix First Last

Email Address*

Pregnancy

I am pregnant and cannot have cold deli meat.

**Please contact the conference coordinator at [email protected] to discuss alternative meal options.**

Meal Choice*

Select OneHamTurkeyVeggieGluten-Free HamGluten-Free TurkeyGluten-Free Veggie

Ticket Cost:

Price:

Wife's Information

Representative #2 Information

Name*

Please select your prefixMrs.Ms.Dr.Mr.Rev.Dcn.Br.Sr. Prefix First Last

Email Address*

Pregnancy

I am pregnant and cannot have cold deli meat.

**Please contact the conference coordinator at [email protected] to discuss alternative meal options.**

Meal Choice*

Select OneHamTurkeyVeggieGluten-Free HamGluten-Free TurkeyGluten-Free Veggie

How long have you been married?*

Select OneEngagedLess than 1 year1-3 yrs4-6 yrs7-9 yrs10-14 yrs15-19 yrs20-24 yrs25-29 yrs30+ yrs

What is the name of your ministry or organization?*

Link to your organization's website, Facebook event, etc.:*

If none, please put "N/A"

Do you have a linen for your table?*

Select OneI will bring my own linen.Please provide me with a linen.

We are able to provide a white linen for you if needed.

Ticket Cost:

Price:

Ticket Cost:

Price:

Ticket Cost:

Price:

Do you have children that need childcare?*

Select OneYesNo

How many need on-site childcare?*

Select One12345678910

Contact Phone for Childcare*

Please list the ages of ALL children for Childcare Wait List

These children will be placed on the childcare wait list. The conference coordinator will reach out to you if spots become available.

Child 1 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 2 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 3 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 4 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 5 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 6 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 7 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 8 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 9 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Child 10 Information

Name*

First Last

Child's Age*

Select One23456789101112

Child's Grade Level*

Select OnePre-KKindergarten1234567N/A

Does this child have any allergies or special needs?*

If none, please put N/A

Ticket Cost:

Price:

Which diocese do you attend Mass in?*

Diocese of Beaumont

Other

Which parish do you attend?*

Select OneBlessed Sacrament ParishCristo Rey ParishHoly Spirit MissionHoly Trinity ParishImmaculate Conception ParishImmaculate Conception- St Peter the Apostle ParishInfant Jesus ParishOur Lady of Guadalupe ParishOur Lady of La Salette MissionOur Lady of Light ParishOur Lady of Lourdes ParishOur Lady of Sorrows ParishOur Lady of the Assumption ParishOur Lady of the Pines ParishOur Lady of VictoryOur Mother of Mercy Parish (Beaumont)Our Mother of Mercy Parish (Liberty)Queen of Vietnam ParishSacred Heart Parish (Port Arthur)Sacred Heart Parish (Raywood)St. Anne MissionSt. Anne ParishSt. Anthony Cathedral BasilicaSt. Catherine of Siena ParishSt. Charles Borromeo ParishSt. Elizabeth ParishSt. Francis of Assisi ParishSt. Helen ParishSt. Henry ParishSt. James ParishSt. Joseph Parish (Beaumont)St. Joseph Parish (Livingston)St. Joseph Parish (Port Arthur)St. Joseph the Worker Parish (Dayton)St. Jude Thaddeus ParishSt. Louis ParishSt. Mark the Evangelist ParishSt. Martin de Porres Mission (Beaumont)St. Martin de Porres Mission (Livingston)St. Mary Parish (Fannett)St. Mary Parish (Orange)St. Mary Parish (Cleveland)St. Maurice ParishSt. Michael ParishSt. Pius X ParishSt. Raymond MissionSt. Therese ParishSt. Therese the Little Flower of Jesus Parish

Diocese and Parish:*

How did you hear about the conference?*

St. John Paul II Foundation Email Communications

Parish Bulletin

Mass Announcement

Promotional Poster or Postcard

Facebook

Catholic School

Diocesan Communications (Flocknote, Newspaper, etc.)

Family or Friend

Other

Family or Friend:

Other:

Catholic School:

Would you be interested in helping us spread the word about the conference to family and friends?*

Select OneYes!No

Would you be interested in serving as a day-of volunteer for the conference?*

Select OneYes!No

Billing Information

Would you like to make a donation to sponsor scholarships for Together in Holiness?*

Select One$5.00$10.00$20.00Other AmountI would not like to make a donation.

Donation

Price:

Donation

Price:

Donation

Price:

Donation Amount:

Billing Email*

Phone Number*

Address*

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Do you have a promo code?*

Yes

No

Promo Code

Total Amount Due:

My total is $0.00.

Yes

If no, leave unchecked.

Credit Card

Card Details

Cardholder Name

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