Love Begins Here Registration 2024

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Thanks for joining us for Love Begins Here 2024! We are going to have a great time together. The trip will be from July 8-11. An additional registration form may be required at a later date. Please fill out the form below and submit your $50 downpayment to reserve your space. Your space is not reserved until payment is received. Payments should be addressed to St. Margaret Mary with Love Begins Here in the Memo line. Checks or cash can be mailed or dropped off at the SMM Parish Office, 439 Washington Avenue, Neenah.

Email *

I am registering as a *

Student

Chaperone

First Name *

Last Name *

Grade in September 2024 (upcoming school year) *

6th Grade

7th Grade

8th Grade

9th Grade

High School Missionary Internship (click if interested and Bethany/Nathan will send info!)

Chaperone

What Parish do you belong to? *

St. Mary, Menasha

St. John the Baptist, Menasha

St. Patrick, Menasha

St. Margaret Mary, Neenah

St. Gabriel, Neenah

Other:

Parent/Gaurdian Full Name (skip if registering as a chaperone)

Parent/Chaperone Email Address *

Parent/Chaperone Phone Number *

Emergency Contact Name
*

Emergency Contact Relationship to Participant
*

Emergency Contact Phone Number
*

Please list any allergies or medical conditions or required medications we need to know about. A member of our leadership team will follow up with you before the trip. Please skip if there are none.

T-Shirt Size (all are adult sizes)
*

XXL

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