2013 Summer Leadership Conference Registration Page

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Please complete the below registration form to register for one of our summer leadership conferences!

Which Conference will the student attend?*
- Loyola Marymount University (LMU) - June 26-30, 2013
- Claremont-McKenna College (CMC) - July 10-14, 2013
- Claremont-McKenna College (CMC) - July 24-28, 2013
Name of Student*
FirstLast
Mailing Address*
Street AddressAddress Line 2CityStateZip Code
Phone*
Student Email (or parent Email if none for student)*
Enter EmailConfirm Email
Male or Female?*
- Male
- Female
Grade in September 2013*
T-Shirt Size (all adult sizes)*
What workshop will the student attend on the final day of Conference?*
Mother's Name*
FirstLast
Father's Name*
FirstLast
Parent Email*
Enter EmailConfirm Email
Please enter an Email address that is checked frequently for information regarding Summer Conference.
School Name*
Diocese*
School Mailing Address*
Street AddressAddress Line 2CityStateZip Code
School Phone*
School Email*
Enter EmailConfirm Email
Please enter an Email address that is checked frequently for information regarding Summer Conference.
Principal Name*
FirstLast
Principal Email*
Enter EmailConfirm Email
Moderator or Student Advisor Name
FirstLast
Moderator or Student Advisor Email
Enter EmailConfirm Email
How would you like to pay for this?*
AOLA Promo Code (if any)
Amount to pay*
Please select amount to pay. $100.00 Non-refundable deposit guarantees a spot for the student.
Other: Amount*
Please enter a value greater than or equal to 0.
Total Payment*
Price: $0.00