ARISE Payment Form

- Thank you for registering for ARISE Diocesan Middle School Rally. Below is the online payment form for the retreat. Registration will be $40 per person. If you have any additional questions, please contact Kathleen Higgins at [email protected].
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  Parish/School REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  How many people will attending with your parish/school (participants + chaperones)? REQUIRED Please fill out this field. Please enter an integer (number).
  
  Registration Fee40.0
  
  Total:
  
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