Register for the 2017 Life Chain!

[contact-form to=’’ subject=’2017 Life Chain’][contact-field label=’Registration type:’ type=’select’ required=’1′ options=’Individual,Family,Group: church/parish/organization,’/][contact-field label=’Name of Individual or ProLife Coordinator/Leader’ type=’name’ required=’1’/][contact-field label=’Family or Organization Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Mailing Address, City, Zip’ type=’text’ required=’1’/][contact-field label=’Cell phone #’ type=’text’ required=’1’/][contact-field label=’Where do you attend church?’ type=’text’ required=’1’/][contact-field label=’How many people are in your group?’ type=’text’ required=’1’/][contact-field label=’How many signs will you need to use/borrow during the Life Chain? Suggested donation is $1′ type=’text’ required=’1’/][contact-field label=’Where will your group stand? Landmark or location on San Pedro’ type=’text’ required=’1’/][contact-field label=’I want to help plan the next Life Chain San Antonio’ type=’checkbox-multiple’ required=’1′ options=’Yes,No’/][contact-field label=’We will bring diapers, wipes, or gently used clothing to donate for mothers in need (drop off at the sign booth)’ type=’checkbox-multiple’ required=’1′ options=’Yes,No’/][contact-field label=’I want to have a booth at the Life Chain San Antonio’ type=’checkbox-multiple’ required=’1′ options=’Yes,No’/][/contact-form]

Order signs and shirts here!

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