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EPIC Registration

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please fill out this form completely. Thank you.
  Por favor complete este formulario por completo. Gracias.
  
  Adults/adultos
  
  Adults Please fill out this field.
  
  Adult Name/Adulto Nombre 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address/Dirección de envio REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email/correo electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number/número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Adult Name/Adulto Nombre 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address/Dirección de envio REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email/correo electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number/número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Adult Name/Adulto Nombre 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address/Dirección de envio REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email/correo electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number/número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Adult Name/Adulto Nombre 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address/Dirección de envio REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email/correo electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number/número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  The first 100 children (ages 5 - 18) will receive a free t-shirt at the EPIC Family Gathering.
  Los primeros 100 niños (de 5 a 18 años) recibirán una camiseta gratis en la EPIC
  
  Child/ren attending; age/s (ages 5-18, still in school)/Niños que asisten; edad/s (de 5 a 18 años, todavía en la escuela) Please fill out this field.
  
  Name of person/Nombre de persona 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 7
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 8
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 9
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 10
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 11
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Name of person/Nombre de persona 12
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age of child Please enter valid data.
  
  T-shirt size/talla de camisa
  
  Will you be attending sessions in English or Spanish? ¿Asistirás a las sesiones en inglés o español? REQUIRED Please fill out this field.
  
  One rate per family/Una tarifa por familia20.0
  
  EPIC Family Gathering participants will adhere to the following:
  Children ages 5 and younger will remain with a parent/guardian at all times.
  Youth ages 6 to 18 will have the opportunity to participate in sessions with/without parent or guardian.
  A consent form must be completed and signed by parent/guardian, if a child will be attending a session without his/her parent or guardian to be in compliance with the Diocese of Victoria Safe Environment policy.
  All EPIC Family Gathering sessions will have Safe Environment compliant volunteers.
  
  Los participantes en el Encuentro Familiar EPIC se atendrán a las siguientes normas:
  - Los niños de 5 años o menos permanecerán con sus padres o guardián en todo momento.
  - Los jóvenes de 6 a 18 años tendrán la oportunidad de participar en las sesiones con o sin sus padres o su guardián.
  - Si un niño va a asistir a una sesión sin su padre o guardián , deberá Ud. rellenar y firmar un formulario de consentimiento para cumplir con la política de Ambiente Seguro de la Diócesis de Victoria.
  - Todas las sesiones de EPIC Family Gathering contarán con voluntarios que cumplan con la política de Ambiente Seguro.
  
  I Agree Please select this field.
  
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- Contact Us
  
  Christella Alvarez
  
  Office of Catechetical Ministry, Director
  
  361-573-0828 Ext. 2225 or 361-827-7171
  calvarezvictoriadiocese.org
  
  Alicia Olive
  
  Administrative Assistant for Catechetical Ministry
  
  361-573-0828, Ext. 2224
  aliciavictoriadiocese.org