Young Adult Ministry Symposium Registration Name* First Last Age*Branch of Service*Please select.CivilianArmyAir ForceMarine CorpsCoast GuardNavySpace ForceVeteran's AdministrationStatus* Active Duty Retired Reserve/Guard Title (Civilian)*Please select.Ms. Mr. Mrs. Chaplain Deacon (Permanent) Deacon (Transitional) Dr. Drs. Bro. Sr. Cardinal Mother Secretary Ambassador CongressmanCongresswoman Judge Justice Senator Governor Mayor Chief Justice Bishop The Reverend The Reverend Monsignor The Most Reverend The Right Reverend The Very Reverend Rank (Army)*Please select. E1 - Private E2 - Private E3 - Private First Class E4 - Corporal E4 - Specialist E5 - Sergeant E6 - Staff Sergeant E7 - Sergeant First Class E8 - First Sergeant E8 - Master Sergeant E9 - Sergeant Major WO1 - Warrant Officer CW2 - Chief Warrant Officer 2 CW3 - Chief Warrant Officer 3 CW4 - Chief Warrant Officer 4 CW5 - Chief Warrant Officer 5 O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - Major General O9 - Lieutenant General O10 - General Rank (Air Force)*Please select.E1 - Airman Basic E2 - Airman E3 - Airman First Class E4 - Senior Airman E5 - Staff Sergeant E6 - Technical Sergeant E7 - First Sergeant E7 - Master Sergeant E8 - Senior Master Sergeant E9 - Command Chief Master Sergeant E9 - Chief Master Sergeant O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - Major General O9 - Lieutenant General O10 - General Rank (Marine Corps)*Please select.E1 - Private E2 - Private First Class E3 - Lance Corporal E4 - Corporal E5 - Sergeant E6 - Staff Sergeant E7 - Gunnery Sergeant E8 - First Sergeant E8 - Master Sergeant E9 - Master Gunnery Sergeant E9 - Sergeant Major WO1 - Warrant Officer CW2 - Chief Warrant Officer 2 CW3 - Chief Warrant Officer 3 CW4 - Chief Warrant Officer 4 CW5 - Chief Warrant Officer 5 O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - General O8 - Major General O9 - Lieutenant General O10 - General Rank (Coast Guard)*Please select.E1 - Seaman Recruit E2 - Fireman ApprenticeE2 - Airman ApprenticeE2 - Seaman ApprenticeE3 - SeamanE3 - Fireman E3 - Airman E4 - Petty Officer 3rd Class E5 - Petty Officer 2nd Class E6 - Petty Officer 1st Class E7 - Chief Petty Officer E8 - Senior Chief Petty Officer E9 - Master Chief Petty Officer E9 - Command Master Chief Petty Officer W2 - Chief Warrant Officer 2 W3 - Chief Warrant Officer 3 W4 - Chief Warrant Officer 4O1 - Ensign O2 - Lieutenant Junior Grade O3 - Lieutenant O4 - Lieutenant Commander O5 - Commander O6 - Captain O7 - Rear Admiral (RDML, lower half) O8 - Rear Admiral (RADM, upper half) O9 - Vice Admiral O10 - Admiral Rank (Navy)*Please select.E1 - Seaman Recruit E2 - Seaman ApprenticeE3 - SeamanE4 - Petty Officer 3rd Class E5 - Petty Officer 2nd Class E6 - Petty Officer 1st Class E7 - Chief Petty Officer E8 - Senior Chief Petty Officer E9 - Master Chief Petty Officer E9 - Command Master Chief Petty Officer W2 - Chief Warrant Officer 2 W3 - Chief Warrant Officer 3 W4 - Chief Warrant Officer 4W5 - Chief Warrant Officer 5 O1 - Ensign O2 - Lieutenant Junior Grade O3 - Lieutenant O4 - Lieutenant Commander O5 - Commander O6 - Captain O7 - Rear Admiral (RDML, lower half) O8 - Rear Admiral (RADM, upper half) O9 - Vice Admiral O10 - Admiral Rank (Space Force)*Please select.E1 - Specialist 1E2 - Specialist 2E3 - Specialist 3E4 - Specialist 4 E5 - Sergeant E6 - Technical Sergeant E7 - Master Sergeant E8 - Senior Master Sergeant E9 - Chief Master Sergeant of the Space ForceE9 - Chief Master Sergeant O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - Major General O9 - Lieutenant General O10 - General Current Military Installation* Email* PhoneMailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Number Attending (Including Yourself)*Please select.12345 or morePlease indicate if you will plan to bring your spouse or children. The hotel allows only four attendees per room. If your family is larger than four, please contact the AMS.Preferred Roommate First Last If there is someone you would prefer to have as your roommate, please provide their name.The hotel allows only four attendees per room. In order to ensure that your family has adequate accommodations, please contact Casey Lee, the AMS Associate Director for Young Adult Ministry, at youngadultministry@milarch.org or 202-719-3653.Second AttendeeSecond Attendee Relationship* Spouse Child Spouse Branch of Service*Please select.CivilianArmyAir ForceMarine CorpsCoast GuardNavySpace ForceVeteran's AdministrationSpouse Status* Active Duty Retired Reserve/Guard Spouse Title (Civilian)*Please select.Ms. Mr. Mrs. Chaplain Deacon (Permanent) Deacon (Transitional) Dr. Drs. Bro. Sr. Cardinal Mother Secretary Ambassador CongressmanCongresswoman Judge Justice Senator Governor Mayor Chief Justice Bishop The Reverend The Reverend Monsignor The Most Reverend The Right Reverend The Very Reverend Spouse Rank (Army)*Please select. E1 - Private E2 - Private E3 - Private First Class E4 - Corporal E4 - Specialist E5 - Sergeant E6 - Staff Sergeant E7 - Sergeant First Class E8 - First Sergeant E8 - Master Sergeant E9 - Sergeant Major WO1 - Warrant Officer CW2 - Chief Warrant Officer 2 CW3 - Chief Warrant Officer 3 CW4 - Chief Warrant Officer 4 CW5 - Chief Warrant Officer 5 O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - Major General O9 - Lieutenant General O10 - General Spouse Rank (Air Force)*Please select.E1 - Airman Basic E2 - Airman E3 - Airman First Class E4 - Senior Airman E5 - Staff Sergeant E6 - Technical Sergeant E7 - First Sergeant E7 - Master Sergeant E8 - Senior Master Sergeant E9 - Command Chief Master Sergeant E9 - Chief Master Sergeant O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - Major General O9 - Lieutenant General O10 - General Spouse Rank (Marine Corps)*Please select.E1 - Private E2 - Private First Class E3 - Lance Corporal E4 - Corporal E5 - Sergeant E6 - Staff Sergeant E7 - Gunnery Sergeant E8 - First Sergeant E8 - Master Sergeant E9 - Master Gunnery Sergeant E9 - Sergeant Major WO1 - Warrant Officer CW2 - Chief Warrant Officer 2 CW3 - Chief Warrant Officer 3 CW4 - Chief Warrant Officer 4 CW5 - Chief Warrant Officer 5 O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - General O8 - Major General O9 - Lieutenant General O10 - General Spouse Rank (Coast Guard)*Please select.E1 - Seaman Recruit E2 - Fireman ApprenticeE2 - Airman ApprenticeE2 - Seaman ApprenticeE3 - SeamanE3 - Fireman E3 - Airman E4 - Petty Officer 3rd Class E5 - Petty Officer 2nd Class E6 - Petty Officer 1st Class E7 - Chief Petty Officer E8 - Senior Chief Petty Officer E9 - Master Chief Petty Officer E9 - Command Master Chief Petty Officer W2 - Chief Warrant Officer 2 W3 - Chief Warrant Officer 3 W4 - Chief Warrant Officer 4O1 - Ensign O2 - Lieutenant Junior Grade O3 - Lieutenant O4 - Lieutenant Commander O5 - Commander O6 - Captain O7 - Rear Admiral (RDML, lower half) O8 - Rear Admiral (RADM, upper half) O9 - Vice Admiral O10 - Admiral Spouse Rank (Navy)*Please select.E1 - Seaman Recruit E2 - Seaman ApprenticeE3 - SeamanE4 - Petty Officer 3rd Class E5 - Petty Officer 2nd Class E6 - Petty Officer 1st Class E7 - Chief Petty Officer E8 - Senior Chief Petty Officer E9 - Master Chief Petty Officer E9 - Command Master Chief Petty Officer W2 - Chief Warrant Officer 2 W3 - Chief Warrant Officer 3 W4 - Chief Warrant Officer 4W5 - Chief Warrant Officer 5 O1 - Ensign O2 - Lieutenant Junior Grade O3 - Lieutenant O4 - Lieutenant Commander O5 - Commander O6 - Captain O7 - Rear Admiral (RDML, lower half) O8 - Rear Admiral (RADM, upper half) O9 - Vice Admiral O10 - Admiral Rank (Space Force)*Please select.E1 - Specialist 1E2 - Specialist 2E3 - Specialist 3E4 - Specialist 4 E5 - Sergeant E6 - Technical Sergeant E7 - Master Sergeant E8 - Senior Master Sergeant E9 - Chief Master Sergeant of the Space ForceE9 - Chief Master Sergeant O1 - Second Lieutenant O2 - First Lieutenant O3 - Captain O4 - Major O5 - Lieutenant Colonel O6 - Colonel O7 - Brigadier General O8 - Major General O9 - Lieutenant General O10 - General Name* First Last Second Attendee Age*Does your spouse plan to participate in the conference?* Yes, my spouse will participate. No, my spouse will not participate. Does this child require care?* Yes, this child will need care. No, I have child care accommodations for this child. Third AttendeeName First Last Age*Does this child require care?* Yes, this child will need care. No, I have child care accommodations for this child. Fourth AttendeeName First Last Age*Does this child require care?* Yes, this child will need care. No, I have child care accommodations for this child. Please indicate if you or anyone else you are registering has any dietary restrictions or requires accommodation for disability. Dietary restrictions Accommodations for disability Dietary Restrictions*Accommodations for Disability*Are you able to help with music or liturgy? I can help by leading music for liturgy. I am a layperson, and I can help with liturgy. I am a priest, and I would like to concelebrate Mass.
