Kino Institute - Catechist Formation/Essentials of Catholic Faith Summer 2017 Registration

06/12/17 09:00:00 AM - 04:00:00 PM
Diocese of Phoenix - 400 E Monroe Street, Phoenix, AZ, 85004
Summer Catechist Formation Classes - Monday thru Friday, June 12 - June 23, 2017, 9:00 a.m. - 4:00 p.m.

Español

Registration Type

x

Registration Information

Fields with Asterisk are required!


Participant #<[$index+1]>

Copy Info From First Entry
Group Name*:
First Name* Last Name*
Phone* Alt Phone
Email* Address*
City* State, Zip*
Country
Title* Organization*
Please select any Parishes you attend:
How did you hear about us?*
Please select your role:*

Optional Extras

$20.00 - United States Catholic Catechism For Adults
$30.00 - Catholic Study Bible

Payment Information

Total Due <[totalDue() | currency]>

Credit Card
Billing Information Same as Above
First Name* Last Name*
Address Zip *
Card Number
Numbers only no spaces or dashes
CVC Number
Three/Four digit security code on back of card
Expiration Month
Jan
May
Sep
Feb
Jun
Oct
Mar
Jul
Nov
Apr
Aug
Dec
Expiration Year
2017 2018 2019 2020 2021 2022 2023 2024 2025 2026