March for Life registration

March for Life Registration
Jan. 20-23, 2014

If you register online, please come into the Newman Center to pay for the trip by Dec. 9th. The cost is $195. Checks can be made out to "Illinois Collegiate For Life or ICFL" You will not have an official place on the trip until you have paid. Contact Sr. Clara (srclara@jpiinc.org) if you have any questions.

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Name *

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Last

School *

Year *

Plan of study *

Religion *

Local Phone Number *

Home phone (emergency) *

Local Address *

Home Address *

Email *

How did you hear about the March for Life? *

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March for Life Registration Jan. 20-23, 2014

March for Life Registration
Jan. 20-23, 2014