RETREAT
REGISTRATION

HIGH SCHOOL RETREAT REGISTRATION


February 28-March 1. Cost $100.00/person. Scholarships are available. Contact meverhart@delawarestmary.org

Registered in Parish

Child Registration

PHOTO RELEASE AND WAIVER

I give my permission for the above mentioned photographs, which may include my child, to be used in Parish publications, promotional pieces, and/or the parish website and related social media.

MEDICAL INFORMATION AND AUTHORIZATION

Medical Needs (Check All Applicable)
Educational Needs (Check All Applicable)

EMERGENCY CONTACTS & TRANSPORTATION

I acknowledge that these adults have permission to pick up my child from The Retreat and that no other adult may do so unless they are listed here.

Parent or Guardian Signature

ABOUT ST. MARY
ADDRESS

Under the patronage of Our Blessed Mother, and rooted in the Roman Catholic faith since 1835, St. Mary Delaware is a vital and vibrant community that engages the living God in worship and prayer, and in Word and Sacrament. Led by the Holy Spirit, and imploring the intercession of St. Mary, we desire to imitate her role of being the Christ bearer, and bear witness to her Son’s redeeming love that has been poured upon us in Baptism, and sustained by the practices and teachings of the Church.

740.363.4641 (p)

740.363.9915 (f)

 

82 E. William Street

Delaware, Ohio 43015

stmary@delawarestmary.org

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