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Delaware Orthodontics




Registration Instructions - Deadline Monday, February 19th

Step 1: Check out the course descriptions.

Step 2: Fill out the registration form below and select the courses you wish to attend. Or, click here to download a PDF registration form to submit by mail along with your payment receipt.

Step 3: Send your payment by Pay Pal below.

OR

Make a check or money order for $45 (only $40 if postmarked before January 31st) payable to Salesianum (add “SACRED” to the memo line of the check) and address it to:

Salesianum/SACRED 2018
c/o Tom Vresics
1801 N. Broom St.
Wilmington, DE 19802

Step 4: You will receive a confirmation of your registration soon after the following dates once your registration and payment are processed if you provided us an email address or phone number:

  • Thursday, January 11th
  • Thursday, February 1st
  • Thursday, February 22nd

Registration Form
First Name:
Last Name:
* Type your name as you want it to appear on your name tag. Please no "ALL CAPS".
Address:
City:
State:
Zip Code:
Phone Number:
E-mail:
Parish:
* When listing parish please use St. for Saint
How did you hear about SACRED?
Diocesan certification credits? Jesus
* Parish name is required for Diocesan certification credit.
AM Course
Choice 1:
Choice 2:
Choice 3:
PM Course
Choice 1:
Choice 2:
Choice 3:
Lunch Choice: