St. John the Apostle Catholic Parish

Virginia Beach, VA

CHRP Online Registration Form

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  Thank you for taking the time to fill out our CRHP registration form. We're excited to have you attend the CRHP weekend and we look forward to meeting you in person!
  
  Date of Registration REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name for Name Tag Please enter valid data.
  
  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.
  
  Primary phone number for communication REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Primary email for communication REQUIRED Please fill out this field. Please enter an email address.
  
  Are you currently registered in this parish? REQUIRED Yes No Please fill out this field.
  
  Please list dietary requests. We will make every effort to accommodate you.
  
  In case of emergency, please contact:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to you REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Type of phone REQUIRED Please fill out this field.
  
  Other phone number Maximum 20 characters Please enter a phone number.
  
  Type of phone
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
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