Diocese of Charlottetown ~ Registration Form 

International Eucharistic Congress  ~ June 15-22, 2008 

1) Personal Data:   Title:    Ms.      Mrs.       Mr.       Sr.       Rev.        Other            

FIRST AND LAST NAME                                                                                                                  

ADDRESS                                                                                                                           

POSTAL CODE _______________ PARISH                                                                                             

PHONE (902) _______________  E-MAIL                                                                                        

GENDER ________ AGE_________ FIRST LANGUAGE                                                 

OTHER SPOKEN LANGUAGES                                                                                                                                 

2) Handicap:   Please indicate if you have any handicap requiring special assistance:

                         Visual             Hearing            Reduced mobility

Other (please specify):                                                                                                                                        

3) Health:   If you have any serious health problems, please specify:

Needs related to your condition:                                                                                                          

4) Transportation:   To and from Quebec City                   CAR (on your own)  or

         CHARTERED BUS  (with diocesan group, leaving Sat. AM, June 14 and returning Sun. June 22)
(Cost is $150.00 return)

5) Emergency contact:  Write information of a person to be contacted in the event of an emergency:

FIRST AND LAST NAME                                                                                                                        

ADDRESS                                                                                                                                   

PHONE   (902)                              RELATIONSHIP (PARENT, FRIEND, etc. ) ____________________

6) Accommodations in Quebec:

____  On my own (making arrangements for myself)

____  I wish to reserve a room at University of Laval with diocesan group. (Breakfast included)

____ Single occupancy (50.00 / night x 8 nights = 400.00)  or 

____ Double occupancy (65.00 / night x 8 nights = 520.00 divided by 2 = 260.00 each)  to be shared with                                                                                    

Full cost for 1 pilgrim (single room):  230. + 150. + 400. = 780.00
(shared room): 230. + 150. + 260. = 640.00

*   For more information call Liz MacDonald at 902-368-8005

7) Interest in participating in activities: Please check from the list below those activities which interest you. Take note that times may change.  (You may check more than one)

1 - Discussion Workshops, Mon. and Tue., June 16 and 17 from 3 to 5 p.m. (Discussion workshops leading towards proposals for the IEC proceedings)

2 - Meal with a Quebec flavour, Wed., June 18 from 4 to 10 p.m. (A unique opportunity to be greeted by Christians with a Quebec touch)

3 - Mission and Eucharist Activities, Fri. June 20 from 3 to 5 p.m. (Various activities to go deeper into the theme of the world's transformation

Remember: return the Registration Form to your group leader (with all fees) ASAP:
     Tom Wilkinson, Diocese of Charlottetown, PO Box 907, Charlottetown, PE  C1A 7L9
Phone: 902-368-8005 / Fax: 902-892-1253
E-mail: tcw@dioceseofcharlottetown.com
and make cheque payable to "Diocese of Charlottetown".              

For more information on the International Eucharistic Congress 2008, ask your group leader or visit our web site at: www.cei2008.ca.