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Lumen Christi

- Formation

Lumen Christi Summer 2022 Registration
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- Parent 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
- Parent 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
- Children Registering REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Grade Next Fall REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Allergies or other medical conditions Please enter valid data.
- Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Medical Release / Liability Waiver: I give my permission for my son/daughter to participate in the 2022 Lumen Christi program. I also hereby authorize the delivery of any necessary emergency medical care by available medical personnel. Further, I assume that with any activity there are risks and I release the Sioux Falls Diocese, Sacred Heart Parish, St. Mary’s Parish, the staff and team from any liability arising out of any injury or accident which may be sustained by the above named participants.
  I Agree Please select this field.
- Help! Many volunteers are needed to make Lumen Christi a success! Would your family be willing to: REQUIRED Host two missionaries overnight for the week Host the missionaries for supper one night Bring the missionaries lunch one day Adult helper for morning program Teenage helper for morning program Adult helper for evening program Other Please fill out this field.
- Parish REQUIRED Please fill out this field.
Submit

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Registration Fee

Cost is $15 per child and is payable to Sacred Heart Parish (or St. Mary's if you are a St. Mary's parishioner). You can drop off cash or check in the parish office or pay online by following the link below: