Regnum Christi

Regnum Christi

Regnum Christi Philadelphia

Event

Date

End Date

Location

Address

Directions

More Info

EVENT CLOSED

Sorry, you missed this event, Our Lady of Bethesda has many other events coming soon. Please click HERE for list of upcoming events. Thank you.

Waitlist

is full. To be placed on the waiting list, enter contact info and submit form.

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at

REGISTRATION AND PAYMENT FORM

Use this form to manage your existing registration and/or complete your event payment.

Critical SF Information (HIDDEN)

Campaign ID

Discount Code Amount

Discount Code (Prefill)

Discount Code

Early Bird Discount Amount

Amount on EB Period

Registration ID

Contact ID

Event Planner

Event Planner Email

Active?

YesNo

Open Wait List?

YesNo

Early Bird Period?

YesNo

Paid?

YesNo

Manage Registration?

YesNo

Event Description?

YesNo

Event Address?

YesNo

Event Location?

YesNo

Location Directions?

YesNo

Location Special Instructions?

YesNo

Payment Instructions?

YesNo

Accepts Children?

YesNo

Virtual?

YesNo

Amount on DC Match

DonationA

DonationB

Zero

Registrant Number

Registration Status

Gender

Message

Gender

Registrant Information

Salutation

First Name

Last Name

Email

Mobile Phone

i.e. ###-###-####

Home Phone

i.e. ###-###-####

Country

Address

City

State

Province

State/Province

Postal Code

Are you a Regnum Christi member?

YesNo

Team Leader

Are you willing to be transferred to in person event in case that there's an open slot?

YesNo

Do you have any special needs?

How did you hear about us?

Please list any dietary restrictions

Guest Information

Will you be bringing guests?

Yes - adults and childrenYes - adults onlyYes - children onlyNo

Total # of Adult Guests Attending with you

Adult names

Total # of Children under 14 Attending

Names, Ages of Children

PERMISSIONS/WAIVERS

OVER 18 WAIVER

Click here to access the waiver.

I confirm that I have read and agreed to the Waiver.

UNDER 18 WAIVER

Click here to access the waiver.

I confirm that I as the responsible adult for these participants have read and agreed to the Waiver for all the children listed above.

Contribution

Do you wish to donate?

Yes, I will donate.No

Contribution Amount

$

Payer

Is the registrant also the payer?

YesNo

Payer Contact Information

First Name

Last Name

Billing Email

Country

Address

City

State

Province

State/Province

Postal Code

Payment Card Information

Name on Card

Card Number

MM

YY

Code

The Code (CVV- Card Verification Value) is a 3 digit number on the back of VISA, MasterCard and Discover cards and a 4 digit number on the front of American Express cards.

Credit Cards

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