of the Roman Catholic Church

Diocese of Salt Lake City

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UCC 2026 Workshop Registration
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  Title
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parish/School Affiliation Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address 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.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Lunch REQUIRED Please fill out this field.
  
  Workshop Name REQUIRED Please fill out this field. Please enter valid data.
  
  Will you need ADA Accommodations in order to fully participate? No Yes
  
  If yes, please specify
  
  Each room is equipped with a promethean board. Do you have any additional technical needs?
  
  Help someone experience this event $ Please enter a positive decimal.
  
  Total:
  
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