Family Workshop April 2021

Registration for Family Workshop - April 9-11, 2021
Father's name

First Name Last Name
Mother's name
First Name
Child #1 - Name
Child #1 - Age
Child #2 - Name
Child #2 - Age
Child #3 - Name
Child #3 - Age
Child #4 - Name
Child #4 - Age
Child #5 - Name
Child #5 - Age
Child #6 - Name
Child #6 - Age
E-mail
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home phone #

Area Code Phone Number
Cell phone #

Area Code Phone Number
Any allergies, diets, or special needs we should be aware of?
Do you belong to Schoenstatt?
Have you made the covenant of love as a couple?

Responsibility and Liability:

I herewith assume all responsibility and liability for any illness or accident that might occur to my children during their stay at Schoenstatt Lamar.

Photo and Video Release:

I also grant to the Schoenstatt Movement the right in any legal manner to use or reproduce photographs, film footage, or the voice of our family for the internal and external, promotional and informational online materials of the Schoenstatt Movement.

I understand that the Schoenstatt Movement will exercise the utmost discretion in the use of any photographs or videos taken of us at Schoenstatt events.

I further understand that by signing this release, I waive any and all present or future compensation rights to the use of the above stated materials.
BY SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature

Clear

To pay with Pay-Pal or credit card: Indicate the amount of people attending the retreat and press "Submit." This will automatically take you to the payment page. Please note that an additional fee is charged for Pay-Pal payments.

To send in a check: Choose that option and press "Submit."

Prices:

Adults (18+): $115 (PayPal: $118.74)

Children 0-3 y/o: Free

Children 4-14 y/o: $75 (PayPal: $77.55)

Youth 15-17 y/o: $95 (PayPal: $98.15)
Registration Fee
prev next ( X )
I would prefer to send a check or pay when we come Free
Please send check to the order of Schoenstatt to the following address: 130 Front Street Rockport, TX 78382

Adults (18+) $ 118.74

Quantity

Children 0-3 y/o Free

Quantity

Children 4-14 y/o $ 77.55

Quantity

Youth 15-17 y/o $ 98.15

Quantity

Total $ 0.00
Should be Empty: