Archdiocese of Milwaukee

NCYC 2023 Group Registration

Group Name*

City*

Contact Name*

Contact Email*

Main Phone Number*

Secondary Phone Number

Is the Trip Leader Different from the Contact?*

Trip Leader Information

Name

Email

Main Phone Number

Secondary Phone Number

Participant Requests

Please give gender of participants if possible. It helps in planning for hotel accommodation. It is understood that these numbers regarding gender are approximate but the “Total numbers” are committed for the school/parish.

Total # of Adult Males

Total # of Adult Females

# of Adults that are couples

Total # of Youth Males

Total # of Youth Females

Total Reserved Spots

($265.00/ea.) [Sold Out]

**Deposit Total

$0.00

**The total cost of the trip per participant is:

$675 - Before 6/30
$700 - Before 9/15
$725 - After 9/15

A $265/participant deposit is required to reserve spots. This is a non-refundable/non-transferable deposit.

Terms*

I, the group contact, am reserving the above-indicated number of spots for the group named above and agree to pay the $265/participant spot. I understand the reserved spots are non-refundable and non-transferable.

The deposit is used to make necessary pre-payments for lodging, transportation and conference fees.

I have read and agree to the terms above.

Please mail one (1) check (payable to Archdiocese of Milwaukee) for the deposit amount below.

Send to:

Archdiocese of Milwaukee
Office of Evangelization & Catechesis
P.O. Box 070912
Milwaukee, WI 53207-0912

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