La Vita - Young Couples Gathering
For Couples married since 6 years or less

Date: 19th July, 2pm to 21st July 3pm
Venue: The Briars Catholic Youth Retreat, Briars Ln, Crich, Matlock DE4 5BW

Abhishek Manuel: 07736781511

Registration Amount :   £ 150 for each family
Payment Ref: <FullNameLastNameLV>
Account Name: Jesus Youth UK
Sort Code: 40-24-17
Account Number: 92763494

Name *
Contact No. *
Spouse Name *
Region  *
Marriage Date *
MM
/
DD
/
YYYY
Will your Kids be accompanying you for the program? *
GDPR Compliance
All personal information recorded in this form will be accessed only by individuals at a management level within Jesus Youth UK in order to facilitate the planning and logistics of this initiative.

You will only be contacted with information related to this or other similar gatherings. You can amend, delete, and access your personal information or unsubscribe by emailing office@jesusyouth.co.uk
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms