Michigan Catholic Young Adult Conference

2009 Conference

2010 Conference

You can register for the 2010 Michigan Young Adult Conference by:

Filling out the form below.
Clicking here to download the paper version of the conference registration. If you download the paper version, please fill it out completely, then mail or email it to the addresses listed below.
Contacting the Michigan Catholic Young Adult Conference Committee by phone at 313-237-4687 or by email at info@micyac.org.
If you have a group of 8 or more young adults that would like to register together, contact the committee for group registration details and discounts (applies to advance registrations only).

Payment details will be listed on the paper version of the conference registration or after you submit the form below. You can pay online by check or credit card or you can mail us a check or money order. You can also bring your cash, check or money order payment the day of the conference.

First Name*

Last Name*

Street Address 1*

Street Address 2

City*

State/Canadian Province*

-or- Non-US/Canadian Province/Shire/Region:

Zip Code*

Country

Home Phone

Cell Phone*

Email Address*

Parish

School (if applicable)

Life Stage (check all that apply)
Single
Dating
Married
Divorced Not Annulled
Divorced Annulled
Widowed
Discerning Religious Life
Priest or part of religious order
Undergrad Student
Graduate Student
Career-Focused
Family-Focused
Young Family
Young Adult Parent
Single Parent

Birthday*
/ /

Would you like to be added to the mailing list for the Young Adult Ministry Program (or for students, Campus Ministry Program) in your area?*
Yes
No

Please list any special dietary needs or restrictions you may have:

Session One Workshop Selection: [Choose from The Heart of Worship, Everything You Wanted to Know About the Mass But Were Afraid to Ask (Spanish), Relationships 101, The Truth About Christ, Does God Want You To Be Happy?, In the Image of God…]*

Session Two Workshop Selection: [Choose from iPray, Blessed are the Single Hearted (Spanish); Adoration; I Am In Your Neighbor; When You Talk, What Are You Saying?; What Am I Going to Be the Rest of My Life]*

We will be providing free childcare for children 1 to 6 years old. You must register children by March 20th. Also, please note that breakfast and lunch will not be provided for your children. Would you like to take advantage of this service?*
Yes
No

Childcare Registration: Name of Child 1

Child 1: Age

Child 1: Special Needs or Instructions

Child 1: Please list any special dietary needs or restrictions.

Childcare Registration: Name of Child 2

Child 2: Age

Child 2: Special Needs or Instructions

Child 2: Please list any special dietary needs or restrictions.

Childcare Registration: Name of Child 3

Child 3: Age

Child 3: Special Needs or Instructions

Child 3: Please list any special dietary needs or restrictions.