CCD Day Retreat Form 26 Rev A

CCD Retreat Registration Form for January 10, 2026 9:00 am - 4:00 pm

Retreat Fee - $10 per person

Grades - K - 8

"Under The Sea: Swimming Towards our Faith"

"From deep in the realm of the dead I called for help, and you listened to my cry.'"

Jonah 2:2

Family Names

Fathers Name

Mothers Name

Address

City

State

Zip Code

Telephone #

Emergency #

EMail

example@example.com

Please note: Our Parish has a website where your child may be pictured for various celebrations. This form serves as permission to publish any such photos within the activities of the Religious Education program. Please Initial

ParentGuardian Signature

Does your child(ren) require any special needs in the classroom?

YesNo

Date

For further information regarding the retreat, please contact Dan Chavarria (210) 663-5245.

Name

First NameLast Name

DoB (MM/DD/YY)

Grade

Shirt Size

Health Consideration/Allergies?

Name

First NameLast Name

DoB (MM/DD/YY)

Grade

Shirt Size

Health Consideration/Allergies?

Name

First NameLast Name

DoB (MM/DD/YY)

Grade

Shirt Size

Health Consideration/Allergies?

Name

First NameLast Name

DoB (MM/DD/YY)

Grade

Shirt Size

Health Consideration/Allergies?