Legion of Mary Congress Registration

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This is the registration form for the Legion of Mary Congress to take place Sept 6th from 9:00-3:00pm at the St Joseph Retreat & Conference Center in Tipton, IN at 1440 W Division Rd, Tipton, IN 46072. See more details at https://catholicassist.com/lom-congress-invitation-sept-6-2025/ Please note: There is a maximum of 40 attendees at the conference. If we receive registrations beyond that, we will have a wait list.

First and Last Name

First

Last

Praesidia Name

Please specify the Marian title of your local praesidia

Curia/Comitium Governance

Mailing Address

Address Line 1

City

State

Zip Code

Phone

Emergency Contact Name

Emergency Contact Phone

Name Name Praesidia

If Other specified, please provide details