• 2022 Visitor Regional Chapter Registration

  One Form per Person Attending

  The maximum number of form submissions has been reached. This form is currently not available.

  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Suffix REQUIRED OFS None Please fill out this field.
  • Select your Fraternity Name REQUIRED (Select One) Arms of St Francis Immaculata Monte Alvernia Sacred Heart San Antonio de Padua - Hebbronville San Bonaventura San Damiano San Felipe de Jesus San Jose - San Antonio San Jose Obrero - McAllen Senor Santo Nino St Anthony of Padua - Corpus Christi St Clare St Francis of Assisi - Dallas St Francis of Assisi - San Antonio St Padre Pio - Georgetown St Paschal Baylon St Pio - Huntsville Other Please fill out this field.
  • Select all that apply REQUIRED Visitor  Please fill out this field.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Arrival Day REQUIRED Friday, June 24th Saturday, June 25th Please fill out this field.
  • Departure Day REQUIRED Saturday, June 25th Sunday, June 26th Please fill out this field.
  • Will you need overnight accommodations? REQUIRED No Yes, Friday only, SINGLE ROOM ($93.25) Yes, Friday only, SHARED ROOM ($55.75) Yes, Saturday only SINGLE ROOM ($93.25) Yes, Saturday only SHARED ROOM ($55.75) Yes, Friday & Saturday SINGLE ROOM ($186.50) Yes, Friday & Saturday SHARED ROOM ($111.50) Please fill out this field.
  • Will you be sharing a room? With whom? Both people must Register. Please enter valid data.
  • Will you need Handicap Accessible Accommodations? REQUIRED Yes No Please fill out this field.
  • Will you need Ground Floor Accommodations? REQUIRED Yes No Please fill out this field.
  • MEALS - Select all that apply REQUIRED Friday Night ($13) Saturday Breakfast ($11) Saturday Lunch ($12) Saturday Supper ($13) Sunday Breakfast ($11) ALL Meals ($60) Please fill out this field.
  • Food Restrictions
  • Emergency Contact Name & relationship REQUIRED Please fill out this field. Please enter valid data.
  • Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  • Other Information, if applicable

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