Gospel Road 2021 "United as One"

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Location/Destination Interest Form

This form is to be completed if you would like more information about potentially organizing a Gospel Road location/destination in your area. We will follow up with you after completion of this form to discuss the details, any questions you may have, and the next steps for organizing local participation in this event.

Names of Parish(es) and/or School(s): *

Primary Group Leader/Organizer/Contact: *

Primary Contact Position: *

(i.e. Parish Coordinator of Youth Ministry, DRE, High School Campus Minister, Volunteer)

Primary Contact Email: *

Primary Contact Phone: *

Secondary Contact:

Optional

Secondary Contact Position:

Optional

Secondary Contact Email:

Optional

Secondary Contact Phone:

Optional

Initial Comments/Questions:

Submit

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