March for Life - St. Lawrence Catholic Campus Center

March for Life

Programs > March for Life

Section Navigation

Testimonies

Photo Albums

March for Life 2009

Links

March for Life 2010

March for Life

The March for Life trip takes place from January 20th-24th. This year marks the 10th anniversary of the St. Lawrence Center pilgrimage to Washington, D.C. to stand up for the unborn. Join us this year as we return to promote life and explore Washington DC! Register soon to secure your spot on the bus!

Michael Miravalle

Evangelization/ Outreach Coordinator

E-mail: mmiravalle@st-lawrence.org
Phone: 785-843-0357

Kyle Haeusser

March for Life Coordinator

E-mail: khaeus11@ku.edu

Lizzy Alonzi

St. Lawrence Intern

E-mail: ealonzi@ku.edu

Joel Haug

Student Leader

E-mail: joelhaug@gmail.com

Sarah Bergkamp

Student Leader

E-mail: smb@ku.edu

March for Life 2010 registration form. Please complete your registration and return your registration fee by December 1st. If you have any questions contact Kyle or Michael.

Registration Fees
KU students (participating in the fundraising)- $50
KU students (opting out of the fundraising)- $250
Non-KU students- $300

Kyle Haeusser or Michael Miravalle

March for Life Coordinator Social Justice Coordinator

khaeus11@ku.edu mmiravalle@st-lawrence.org


Name*
College/University*
Year in school*
KU ID *
Major
KU email*
Alternate non-KU email*
Local Address
Permanent Address
Cell phone*
Other phone
Date of birth*
Religion*
Do you have any special needs? (diet, handicap, etc.)
Cost and Fundraising *	Names and Addresses of 5 family members, neighbors and friends that want to support you. In order to keep the cost of the March for Life trip to $50 per person, we are asking for your help. Please include the names and addresses of 5 friends, parents, grandparents, aunts, uncles and neighbors that want to support you on this pilgrimage.
T-Shirt size*
Emergency contact name*
Emergency contact number*
Number of times attending the March*
Are you covered by insurance?*	Do either you or your parents have some form of health insurance that covers you in case of an accident?
Insurance Company's Name*
Insurance Policy Holder's Name*
Insurance Policy Number *
I understand that my non-refundable fee is due with this registration. *	I will drop off my payment to the St. Lawrence Catholic Campus Center.
Security Code*	(Enter the code above)