St. Louis University :: World Youth Day 2006

Registration for SLU World Youth Day 2008 is CLOSED. Please do not Register unless authorized by trip organizers!!!

General Information

First Name:

Last Name:

Nickname:

Banner#:

Gender:

Male Female

Status:

Birth Date:

(MM/DD/YY)

Religion:

Email Address:

Major:

Cell Phone:

Residence:

Do you have a passport that will be valid in the summer of 2008?

Yes No

Name of your home church afilliation:

	Residential Students (On Campus address for academic year 2007-2008)
		Residence Hall:
		Room Number:
		Campus MSC Box #:
		Phone #:

	Commuter Students (Off Campus address for academic year 2007-2008)
		Street:
		City:
		State:
		Zip Code:
		Phone:
	Permanent mailing address for academic year 2007-2008
		Street:
		City:
		State:
		Zip Code:
		Phone:

Emergency Contact Information

Name:

Relationship:

Contact Address:

Street:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Special Needs

Dietary Needs: Do you have any dietary needs, please specify:

Do you have any medical conditions that might make long periods of sitting, standing, or walking difficult? If yes please explain other wise skip to next question.

Are you interested in serving on a planning commitee?

Yes No

If yes, which of the areas in the drop down menu would be of interst to you:

Have you attended a World Youth Day before?

Yes No

If yes, when/where?

Please give brief answers to the following questions for the purposes of our Pilgrim Pages:

1. What excites you most about participating in World Youth Day?

2.If you could say one thing or pose one question to Pope Benedict XVI, what would it be?

3. Of all the creatures found Down Under, with which would you most identify? Why?

4. If you could bring one thing back from Australia, what would it be?

5. What message will you bring with you from SLU to other pilgrams from around the world?

If you experience a problem using this online registration please contact:
Tom Hanley | 314-977-2558 | hanleyt@slu.edu