Request to Change Lay Delegate

Annual Convention Alternate Lay Delegate Request

Parish Requesting Delegate Change

Primary Contact Name

Primary Contact Name

First

First

Last

Last

Primary Contact Email

Date Registration Submitted for Annual Convention

Registration Payment Method

Debit/Credit Card

Check

Currently registered delegate who will no longer be attending

Registered Lay Delegate Name

Registered Lay Delegate Name

First

First

Last

Last

Registered Lay Delegate Email

Alternate delegate who will be serving in their place

Alternate Lay Delegate Name

Alternate Lay Delegate Name

First

First

Last

Last

Alternate Lay Delegate Email