Step 1: Household info

Start by filling out information about your household. We'll create an account for you and save this information so you don't have to fill out again for future conferences. If you have already created an account, you can log in here.

Your contact information

First name*

Last name*

How will your name appear on your nametag?*

Email*

Phone number*

We'll include this number on your children's nametags at conferences.

Position in the Church*

Do you have any medical issues that could potentially create a medical emergency?*

Yes

Does this adult have any medical issues that could potentially create a medical emergency?

This might include an epipen prescription or other severe allergy, asthma, diabetes, etc.

Household info

Street address*

Town*

State*

Zip code*

Home parish*

Jurisdiction*

Do you authorize Saint Emmelia Ministries to use photos that include your family members on our website and in other promotional materials? No identifying information will be associated with any published images.*

Yes

Your spouse's contact information

You only need to fill out your spouse's info if they will be attending the conference or if you would like them to be included in your family's entry in the St. Emmelia directory.