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St. Andrew Dinner Name Submissions

Please take a moment to nominate a young man ages 14 - 35 from your parish or school who would benefit from attending a St. Andrew Dinner.
Please be sure to include their mailing address so we can send them a personal invitation to attend.

Thank you and God bless!
This form is not accepting responses at this time.
- Nominee Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address (Street, City, State, Zip code) REQUIRED Please fill out this field. Please enter valid data.
  
  Age (Must be 14 years or older) REQUIRED Please fill out this field. Please enter valid data.
  
  Parish / City REQUIRED Please fill out this field. Please enter valid data.
  
  Tell us about this Person REQUIRED Please fill out this field.
- Nominator Information
  
  Your Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.
  
  Your Parish / City REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to this Person REQUIRED Pastor / Pastoral Leader Chaplain Campus Minister Catechist / Teacher Youth Minister Parish Member Family Member Please fill out this field.
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Diocese of Green Bay