General Registration

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Primary Phone Number*

Email*

Are you attending by yourself, with other members of your family, or as a Youth Minister/Youth Track Volunteer?*

By myself With a spouse and/or with other adults With children under 18 who will attend a youth session With children who will not attend youth session As a Youth Minister/Youth Track Volunteer

Choose your lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Please specify t-shirt size:

AS AM AL AXL A2XL

You will need to complete a separate registration form for each adult.

You will need to complete a separate Youth Registration form for each youth attending a youth track. You will need to complete a separate General Registration form for each youth not attending a youth track.

Please choose your parish below so they may receive credit for your registration

Name of Other*

How did you hear about the event?*

Ads Social Media Parish

Other:

Interested in being a volunteer?*

Yes No

Please choose one option below::*

Spanish speaking Safe Environment certified (to work with youth) A trained Eucharistic Minister General Event Volunteer

Please check all options you would be interested in volunteering for:*

Youth aged 4 - 6 years old Youth 2nd - 6th grades Youth 7th - 12th grades

If you are interested in volunteering with any of the youth tracks, please click here for opportunities to become Safe Environment Certified to renew your current certification.

Are you attending as part of a larger group?*

Attending by myself or with my family Attending as part of a parish group

Name of Parish Group attending with:*

IMPORTANT - Please read before proceeding

Only check Latino Unite below if you will be attending the Spanish language programming.

Please indicate which sessions you will be attending:*

Great Gathering, 10:00 a.m. - 10:30 a.m. (doors open at 9 a.m.) Main Event, 10:30 a.m. - noon Latino Unite, Noon-3:30 p.m. Comedian Jim Gaffigan, 2:15 - 3:30 p.m. Mass, 4-6 p.m. Cross & Light Performance, 7:30-9 p.m.

Choose your lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Number of children attending Latino Unite with you*

Choose Child #1 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #2 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #3 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #4 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #5 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #6 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #7 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #8 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #9 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #10 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #11 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Choose Child #12 lunch option below (included with your registration)*

Turkey and cheddar on buttered croissant with assorted chips, cookie, pickle and a bottle of water. Mesa Chicken Salad – grilled chicken breast, cheddar, grape tomatoes, sliced avocado, with black bean and corn mix on mixed greens. Served with jalapeno ranch and a bottle of water. Gluten-Free

Do you have need for a listening-assist device or require any other kind of special assistance/provisions?*

Yes No

Indicate your needs below:

Listening-Assist Device for hearing impaired Listening-Assist Device for language translation Wheelchair Water Oxygen

Other:

Are you in need of overnight accomodations?*

Yes No

The Archdiocese has negotiated a reduced rate for hotel rooms at the Unite partner hotel, the Hilton in downtown Omaha, for only $119/night. Those booking rooms at the Hilton can receive a complimentary Pilgrim's Package full of exclusive discounts at local businesses and attractions for the weekend of June 7-9, 2019. Would you like to receive the Pilgrim's Package?

Yes No