March for Life Registration

Name as it would appear in State ID or Passport (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Grade REQUIRED Please fill out this field.

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.

Student's Cell Phone Number (if applicable) Please enter a phone number.

Student resides with REQUIRED Please fill out this field.

Trip Selection (Cost includes Airfare, Hotel, Shuttle to and from airport, 1 group dinner, participant liability insurance (required by Archdiocese of Oklahoma City) REQUIRED $440 per person - 4 participants to a room $490 per person - 3 participants to a room $590 per person - 2 participants to a room $1000 per person - Single Occupancy Please fill out this field.

Will you be participating in a guided bus tour our of the monuments? Group tour is not included in price of trip. Cost for the 4 hour guided bus tour is $60 per person. REQUIRED Yes, add to group tour list No, don't add to group tour list. Please fill out this field.

Participant's Roommate(s) REQUIRED Please fill out this field.