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Pro-Life Week of Action 2022

Submit your application for the Pro-Life Week of Action. Applicants will be notified of acceptance by email. If your application is not accepted, you will be issued a full refund.

Your Registration Info
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Credit Card
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Billing Name and Address
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Pro-Life Background
e.g., volunteering with a pro-life organization, participating in Lifechain, etc. Please list the organizations you have been involved with and explain your roles/activity.
Please Explain
 
 
Please provide a reference (e.g. pro-life leader, religious leader). Include name, this person's relationship to you, how long they've known you, and their phone number.
Logistical Information
e.g. allergies (i.e. pet, food), disability, other health conditions
Contact information for parent/guardian (Name, Email, Phone)
How did you hear about the event? (e.g. social media platform, a friend or family member, etc.)