Episcopal Youth Event 2008 Registration
Episcopal Diocese of Southern Ohio
Please complete all fields. If a field does not apply to you, please type "NA" before you click submit.
First Name Middle Initial
Last Name Preferred First Name
Address City, State, Zip
Home Phone Bus Phone
Cell Phone Email
Gender Grade
Category Adult Age
Ethnicity Primary language:
If Other, please indicate:    
Physical needs
Medical Needs
Dietary needs
Parent Name Parent Phone
Helpful info
Ordained?    
if yes, order of ministry    
When you click submit, your email carrier will continue this process, so you have a copy of this form stored in your own outbox. You will receive a confrmation email from Roger Speer shortly with attached signature forms and specific links to the EYE site for items you should read and inwardly digest. Get ready for a great ride!