2011 Midwest H.A.L.O. Encuentro

Midwest H.A.L.O. Encuentro 2012 Online Registration

*required fields

Organization Name*:

School*:

Mailing Address*:

Contact Info*:

(name)

(email)

(phone)

(alt phone)

Number traveling with your group:

(please submit names is space below)

Date of Arrival:

Approximate time of arrival:

Group Roster:

Encuentro 2012