CYPCLC Registration CYPCLC Registration Name(Required) First Last Email(Required) Phone(Required)Diocese(Required)New SEC/VAC/Review Board Orientation(Required)YesNoRole(Required) Priest Deacon Victim Assistance Coordinator Safe Environment Coordinator Review Board Member Other OtherAdditional guest name, if applicable(Required)Dietary Restrictions(Required)YesNoWhat are your dietary restrictions(Required)Box lunch Wednesday (May 14)(Required) Yes No Box Lunch ChoiceRoast Beef SandwichAvocado and Ranch Chicken WrapGrilled Portobello Mushroom WrapConsent(Required) I acknowledge and consent to the terms listed below. Terms and Conditions: Please know that this application process is not considered complete until payment is received. Upon processing your application and payment, a confirmation letter will be sent as an email attachment. This will acknowledge the dates and conference for which you are registered, provide details, and outline the cancellation/postponement procedures and penalties that go into effect at that time.
