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.