2026 Youth Confirmation Retreat

Parent / Guardian Information
Parent/Guardian #1 Name*

First NameLast Name
Parent/Guardian #1 Cell*
Please enter a valid phone number.
Parent/Guardian #1 Email*
example@example.com
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Cell
Please enter a valid phone number.
Parent/Guardian #2 Email
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email*
example@example.com
Media Release and Permission to Participate
I hereby give my consent to all photographs, audio recordings, and/or video recordings of my minor child or myself taken by the Episcopal Church of the Good Shepherd staff or their designee. I understand such photographs and recordings become the property of Good Shepherd and may be used by the parish for educational, instructional, or promotional purposes.*

Yes, I give my consent.No, I do not give my consent.
I, the parent or legal guardian of the above-named child, and on behalf of my child and myself, authorize my child to participate in the 2026 Confirmation Retreat. I fully understand that participation may involve various risks of illness or injury to my child. I also understand that there may be additional risks not known to me or reasonably foreseeable at this time. *

Yes, I give my permission.No, I do not give my permission.

My Products

Confirmation Retreat

$200.00 Quantity

Scholarship Request

$ Free Quantity

Pay By CheckCost: $150, payable by check to Good Shepherd with "2026 Youth Confirmation Retreat" in the memo line. Checks can be delivered to the church office in any of the following ways: 1. Mailed to "Good Shepherd Episcopal Church, PO Box 5176, Austin TX 78763" 2. Placed in the Offering Plate on Sunday, or 3. Brought to the church office Mon - Fri, 10:00a to 5:00p.

$ Free Quantity

Total

$0.00

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2026 Youth Confirmation Retreat

Students Information

Parent / Guardian Information

Media Release and Permission to Participate