Diocese of Madison
Theology of the Body for Teens
Online Registration

Each individual should complete this form once and then click the 'Submit' button at the bottom of the page.
Do not use the 'Enter' key.

If you have questions, please call 608-821-3160 or e-mail us at OEC@straphael.org.


First Name:
Last Name:
Parish:
City where parish is located:
Your preferred mailing address:
     Street address:
     City:
     State:
     Zip:
Email Address:
Daytime phone:


Donations are gratefully accepted to offset the cost of this event, which is expected to run approximately $35 per participant. Checks can be made payable to "Diocese of Madison" and mailed to:
       OEC -- ATTN: Theology of the Body for Teens
       P.O. Box 44983
       Madison, WI 53744-4983