Holy Week Retreat Registration

2026 Spring Break Retreat Registration
Event Information

Class/Grade Level : 6th - 12th grade

Event Description : Retreat at St. Charles Youth Center, 4904 Trier Rd.

Purpose of Event : Spiritual Formation

Date / Approx. Time of Check-In : Tuesday, March 31st at 10:00am

Date / Approx. Time of Departure : Tuesday, March 31st at 9:00pm
General Information
Teen Name*

First NameLast Name
Preferred Name (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Grade*
MaleFemale
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Thank you for registering for this retreat! Please provide a signature below to finalize your registration. If you have questions abour your registration or about the retreat, please contact Anna Laisure at ym.associate.scbfw@gmail.com.

The next page will have a link to the Annual Emergency Medical Care Forms. Please be sure to fill out the appropriate forms for your child if you have not already done so for this academic year.
Parent/Guardian Signature*
Should be Empty:

2026 Spring Break Retreat Registration