Confirmation Retreat Registration Form

Confirmation Retreat Registration Form

When: Saturday January 28th: 8am to 4pm Where: 3843 Bulverde Parkway San Antonio Tx. 78259. Cost: $60
Participant's Name

First NameLast Name
Name of the parish in which participant attends
Participant's T-Shirt Size
Does participant have any food allergies or medical concerns?
Participant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who does participant live with...

Both ParentsOne parent onlyLegal Guardian (Must have submitted proof of legal paperwork)
Father's Name/ Legal Guardian's Name

First NameLast Name
Father's E-Mail
example@example.com
Father's Cell phone
Please enter a valid phone number.
Mother's Name/Legal Guardian's Name

First NameLast Name
Mother's E-Mail
example@example.com
Mother's Cell Phone
Please enter a valid phone number.
Which is the best Contact

FatherMother
Lunch will be provided by Jason's Deli. Please choose an option for your child

TurkeyHamSaladparticipant will bring their own
To pay the registration cost you can go online https://www.givecentral.org/location/904/event/34180 to submit payment.

Cash or check made to St. Padre Pio is fine also.
Which parent is signing this form?
Parent's Signature

Clear
Should be Empty: