Saint Joseph Roman Catholic Church Discovery High School Overnight Retreat

Discovery Retreat Registration

Student Registrant Information

Please enter information of the student attending the Discovery Weekend.

* Student Name

First

Last

* Date of Birth (mm/dd/yyyy)

* School

Student Phone (mobile)

Student Phone (home)

(if applicable)

Student E-mail

Mailing Address

Street Address

Address Line 2

City

State / Region / Province

ZIP / Postal Code

Country

* Allergies/ Dietary Concerns

(write "none" if not applicable)

Parent/Guardian Information

Please enter information of the registrant's legal guardian and emergency contact.

* Parent/Guardian Name

First

Last

* Relation to Student

Parent/Guardian Phone

(mobile preferred)

* Parent/Guardian Email

Volunteer Availability

Kitchen Help (3 hour shift)

Retreat Setup

Retreat Take-Down

Nightime Chaperone

Prayer Chain

Unavailable to help for the weekend

In order for the retreat weekend to operate, parent volunteers are needed in various areas. Please consider where you can help:

* Emergency Contact

First

Last

* Relation to Student

* Emergency Contact Phone

(mobile preferred)

Permissions & Payment

Photo Release: I give permission to St. Joseph Catholic Churchto use photos of my child for promotional use.

Yes

* Payment ($60/participant)

Online Payment (Credit Card through "Donate" page)

E-Transfer (sjc.etransfer@gmail.com)

Cash (payment required before March 17th)

Important

After submiting this form you will be redirected to our "Donate" page. If you choose to pay through Credit Card, please enter "$60" (per registrant) under "Donation Amount" and select "Discovery Registration" under "Donation Type"

You will also find the e-tansfer email address at the bottom of that page.

Thank-you for registering, and you will receive a confirmation e-mail upon submitting this form. (Check your junk mail if you do not receive it). We look forward to an excellent weekend!

Discovery High School Retreat

Discovery High School Overnight Retreat

Important

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