Diocese of Scranton
Convocation for Catechists 2007
Individual Registration Form

One registration form is required for each participant.
Registration Deadline:  October 10, 2007

Name                   
Address                
City/State/Zip       
Parish/Town            
Phone #                     
E-Mail                       

Registration Fee: $15 per person      12 for $150
Payment must accompany registration.
You must pre-register for two workshops or VIRTUS.
 

Workshop 1                 

Workshop 2                  
Alternative Workshop   
Or Virtus Training  
VIRTUS is a 3 hour session (12:30 p.m. - 3:30 p.m.)
 
PFI Continuing Education Credit: 3 hours available only for those who have completed PFI Certification.  Additional $5.00 fee.

Holy Redeemer High School and St. Mary's Church are wheelchair accessible.
Please indicate special needs.
Wheel Chair      Other Circumstances
                             
                               
Registration for Youth Track

Parish  
Contact Person
Phone # 
# of Students       Transportation (check one)      Bus        Car

Bus Arrival & Departure will be at the rear of Holy Redeemer High School

 


Make your check payable to the
Diocese of Scranton
and mail it to:
Mrs. Janet Benestad
Diocesan Secretary for Parish Life
and Evangelization
300 Wyoming Avenue
Scranton, PA  18503

We suggest you make a copy of this registration form for your own records.

Once you click on "Submit",  you'll see a confirmation form.  
Please provide the requested contact information and mail a copy of this form back with your payment.

Registration confirmed after check is received.