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Last Name REQUIRED Please fill out this field. Please enter valid data.

*Name must EXACTLY match name on passport*

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Date of birth REQUIRED Please fill out this field. Please enter valid data.

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Nationality REQUIRED Please fill out this field. Please enter valid data.

Passport Country REQUIRED Please fill out this field. Please enter valid data.

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Email REQUIRED Please fill out this field. Please enter an email address.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Email REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.

Which are you interested in REQUIRED Short Trip Long Trip Land-only.... where will you meet us Lisbon Barcelona Other Please fill out this field.

Are you a Priest? REQUIRED Yes No Please fill out this field.

Religious? Seminarian Deacon Brother Sister

Medical Issues?

*Note any physical disability, illness, allergy, special medication, or other medical condition that may require special attention or accommodation during WYD.*

Dietary Needs?

*Note any dietary restrictions or allergies that may require special accommodation during WYD. While we will do our best to provide for all needs, those with restricted diets should be prepared to carry their own, supplementary food - especially during WYD events.*

Adult Shirt Size Please enter valid data.

Home Parish REQUIRED Please fill out this field. Please enter valid data.

Have you completed Safe Environment Training and Background Check with the parish? Yes No Not sure

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MEssage from The World Youth Day Archdiocesan planning Committee
Sept. 27, 2022