C2027 - CSM Session I Staff Registration

CSM Session I Alum Team/Staff Registration

February 23 - February 28, 2025

Personal Information
Name for Session Name Tag*

First Name (include Fr., Sr. or Dcn. if applicable)Last Name
Email Address*
Mobile Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Flight Arrival Information
Airline Carrier:
Arrival Flight Number:
Arrival Date:

MonthDayYear
Date
Arrival Time:

:HourMinutesAM/PM Option

Flight Departure Information
Airline Carrier:
Departure Flight Number:
Departure Date:

MonthDayYear
Date
Departure Time:

:HourMinutesAM/PM Option

Additional Questions and Dietary Preferences
Will you be joining us for the Session I 5:30pm dinner on MONDAY, February 23rd?*

YesNoOther
Food Allergies & Dietary Preferences*

I have a food allergy.I have a dietary preference.I have NO allergy or dietary preference
Please specify your food allergy or dietary preference.
Do you have any sort of condition that requires assistance or accommodation?

Emergency Contact Information
Emergency Contact *

First NameLast Name
Emergency Contact is your... (spouse, child, friend, etc.)*
Emergency Contact Mobile Number*
Please remember to "Submit" your form!
Should be Empty: