Sign up for the October 15 Sidewalk Counseling Training Seminar

Sign up below for the Sidewalk Counseling Training Seminar on Saturday, October 15th at 1:30 p.m. at Our Lady of Mercy parish at 701 S. Eola Road in Aurora (map). The seminar is provided at no cost, but you may choose to make a freewill donation in the form below.

Name*
Email*
Mobile Phone*
How many people would you like to register?*
(To register more than 4 people, please call Matt Yonke at 630-896-1200)
Name of second registrant*
Name of third registrant*
Name of fourth registrant*
Would you like to make a $15 donation to help cover the costs of the seminar?*
- Yes, I would like to make a donation!
- No, I would not like to make a donation at this time.
Gift Amount*
- $5
- $10
- $15
- $25
- $100
- Other
Other amount*
Credit Card*
Card Details
Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code
Total
$0.00