Diocese of Phoenix - CRM ANNUAL CONFERENCE

Contact Person or Group Leader Information *

Prefix/TitleFirst NameLast NameSuffix

E-Mail Address*

Phone Number*

Group Name (Optional - Not Required)

1.) Select the number of people you are registering in the dropdown box BELOW.

2.) Enter 1, and registration information, and click the "ADD ROW" button to submit.

3.) If you are registering more than one, enter 2, 3, 4, etc. in the # field, fill in the info. (Emails are optional), and click "ADD ROW" after every entry.

4.) The numbers selected below should match the number of the added registrants.

# Of Persons Registering*

(Please register youth and adults separately). Youth registration includes Lunch and Dinner.

Please check the item selection and match the numbers of people entered above with the "Quantity" dropdown below. Adult meal reservation available below.

$25.00 SUPER "EARLY" REGISTRATION (Age 18 and over)$25.00

$25 Early Regular Registration. $35 (Jan 1 - April 15, 2026). $50 (after April 15). Lunch or Dinner NOT included.

Quantity

Dinner Meal$12.00

Dinner meal includes a grilled Hamburger or Cheeseburger or 2 hotdogs, Soda, and Sides. Provided by the SJV Youth Ministry's Fundraising Team.

Quantity

$35.00 YOUTH RETREAT REGISTRATION (INCLUDES LUNCH & DINNER)$35.00

Youth Retreat - Sat, May 2nd, 9AM-9PM Grades 6 - 12 (Middle & High School age).

Quantity

ALL RELIGIOUS$ Free

Priests, Deacons, Sisters, Brothers, Seminarians, and Nuns

Donations (Optional)$5.00

Please click the dropdown arrow to select your donation level and amount. Thank you for your generous donations!

Level

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Registration Payments are Non-Refundable.

Yes, I understand that Registration Payments are Non-Refundable. I confirm that the amount paid corresponds to the number of registrants. By registering to this event, you are granting the Diocese of Phoenix permission to use your likeness in photograph, video, other digital media.

For REGISTRATION QUESTIONS, please TEXT or CALL:

"H" Walsh at (406) 210-7867 or Laurie Walsh at (623) 670-1120

E-Mail: azmtbriwal@gmail.com

or E-Mail: Cathy Cato at: tewcatz@hotmail.com

REGISTRATION FORM

NOTE: PLEASE READ AND FOLLOW THESE STEPS: