Legion Of Mary’s 35th Annual Juniors Retreat

Legion Of Mary’s 35th Annual Juniors Retreat

Saturday, November 15, 2025, 8:00am - 4:00pm, The Catholic Parish Of Corpus Christi, 2707 34 Street NW, Edmonton, AB, T6T 1P5.
PARTICIPANT
Name of Child #1

First NameLast Name
Age and Sex
Date of Birth
Home Phone / Cell Number
Please enter a valid phone number.
School
Grade / Year
Parish
Allergies
Medical Condition / Conditions ( If Any )
Did your Child already received the following Sacraments? ( Please Check )

First ReconciliationFirst Holy CommunionConfirmation
Are you going to accompany your child to the retreat?

YesNo
Name of Child #2

First NameLast Name
Age and Sex
Date of Birth
Home Phone / Cell Number
School
Grade / Year
Parish
Allergies
Medical Condition / Conditions ( If Any )
Did your Child already received the following Sacraments? ( Please Check )

First ReconciliationFirst Holy CommunionConfirmation
Are you going to accompany your child to the retreat?

YesNo
Name of Child #3

First NameLast Name
Age and Sex
Date of Birth
Home Phone / Cell Number
School
Grade / Year
Parish
Allergies
Medical Condition / Conditions ( If Any )
Does your Child already received the following Sacraments? ( Please Check )

First ReconciliationFirst Holy CommunionConfirmation
Are you going to accompany your child to the retreat?

YesNo
Name of Child #4

First NameLast Name
Age and Sex
Date of Birth
Home Phone / Cell Number
School
Grade / Year
Parish
Allergies
Medical Condition / Conditions ( If Any )
Does your Child already received the Following Sacrament? ( Please Check )

First ReconciliationFirst Holy CommunionConfirmation
Are you going to accompany your child to the retreat?

YesNo
Name of Child #5

First NameLast Name
Age and Sex
Date of Birth
Home Phone / Cell Number
School
Grade / Year
Parish
Allergies
Medical Condition / Conditions ( If Any )
Does your Child already received the following Sacrament

First ReconcilliationFirst Holy CommunionConfirmation
Are you going to accompany your child to the retreat?

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PARENTS / GUARDIANS
Father’s Name

First NameLast Name
Mother’s Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
YOUR EMAIL ADDRESS NEEDED FOR US TO SEND YOU A CONFIRMATION THAT WE RECEIVED YOUR REGISTRATION. THANK YOU.*
example@example.com
Guardian’s Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Number
Please enter a valid phone number.
CONSENT / PERMISSION
I / We, blank , hereby give my / our consent and permission for blank ( participant’s name), to attend the Junior Retreat.
I / We, blank agree to allow the organizers to take photographs of the event, that may include our Child, for documentation purposes.
Parent / Guardian

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Parent / Guardian

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Legion Of Mary’s 35th Annual Juniors Retreat

PARTICIPANT

PARENTS / GUARDIANS

CONSENT / PERMISSION