Life in the Spirit Seminar Registration | April 23, 2022

First Name*

Home Phone*

Cell Phone

E-mail*

Age*

Have you ever attended a Life in the Spirit Seminar before?

Yes
No

How did you learn about the Seminar?*

Last Name*

Address*

City*

State*

ZIP*

Gender

Male
Female

Parish*

A free lunch will be provided (sub sandwich, chips and fruit); if you prefer to brown bag, please indicate here:

I am bringing my own lunch.

If you have any questions, please contact Blaine at 859-391-5794.