Confirmation Retreat Registration Form

Welcome to the 8th Grade Confirmation Retreat Registration Page

Below you will find the registration form for the Confirmation Retreat “Sanctify” which will be held in the Msgr. Kuzmich Life Center at St. Vincent de Paul Parish on Saturday, January 26, 2019 from 9:00 AM to 6:00 PM.  The registration and fee of $15.00 is due by January 18, 2019. 

In order to make this day possible for the 140 students who will be attending, many parent volunteers are needed. One important volunteer opportunity is serving as a group leader.  Pray about whether God is calling you to experience this day with your child by leading a group of 6 to 8 students in small group discussions.  Group leaders will stay with students throughout the day assisting with retreat activities.  All activities, discussion questions, and materials are planned out in detail and provided for the group leader.  The retreat will be led by the St. Vincent Youth Director Lindsay Klinker.  Group leaders will follow Lindsay’s instructions throughout the day.

The commitment of a group leader involves being present on the day of the retreat from approximately 8:45 AM until 6:00 PM.  There will also be a meeting for group leaders on Thursday, January 24th in the Life Center from 7:00 PM to 8:00 PM.  If you are interested in volunteering as a group leader, please indicate on the registration form and also email me at the above address regarding your desire to serve in this capacity.

In addition, we also need parents to serve lunch and clean-up, as well as parents to assist with clean-up after the retreat.  Donations of snack and drink items are also needed.  Each volunteer possibility is listed on the registration form.  Please check the area in which you are able to help. 

We ask that students arrive no earlier than 9:00 AM for registration unless parent is a group leader.   The retreat will begin promptly at 9:15 AM and conclude after the 5:00 PM Vigil Mass.  Students may be picked up at 6:00 PM at the church.  Specific details regarding food donations and other retreat information will be sent the week of the retreat.  I look forward to this special day with your child.

This will be the only retreat held at St. Vincent’s for Confirmation students.  If your child is unable to attend this retreat, you may contact me regarding other retreats in the diocese.  All students being confirmed must have one retreat experience prior to Confirmation in April.

Blessings, Debbie Blackburn

Director of Religious Education

 

Student Information
Student Name
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Parent/Guardian Name
  •  
Address
E-mail
Phone -- ext
Behavior Agreement
I have read and understand the following:
Please have your child check off the points in the behavior agreement below. Checking each point constitutes that they understand and will abide by that which is stated. After checking the boxes both students and parent should type their name and date.
Student Signature and Date I understand that by typing my name I am agreeing to the statements checked above.
Parent Signature and Date By typing your name you agree that you and your child have read and agree to the information in the behavior agreement.
Volunteer Opportunities
Lunch will be served and various snacks will be available throughout the day. If you are able to help with food donations, please indicate by checking below.
I can help in the following ways:
Parental/ Guardian Consent and Liability Waiver
Parent/Guardian Name
  •  
Student Name
  •  
I give my consent and waive liability to the following:
By checking the each statement below, you are giving your consent, waving liability, and agreeing with the statements contained herein.
Parent Signature
Emergency Contact Information
Emergency Contact Person
  •  
In the event of an emergency and we are unable to contact you at the phone number listed on this registration form please provide the name and contact information of an alternate contact person.
Emergency Contact Phone Number --
Medical and Insurance Information
Family Doctor
  •  
Family Doctor Phone Number --
Family Health Plan Carrier
Policy Number
Medical Conditions or Allergies
  •  
Photo Release
Permission for Photos to be Taken of Your Child
By checking below you are granting permission for photos of your child taken during the Confirmation Retreat to be used as stated.
Parent Signature
Payment
If you wish to pay with a credit card, please continue by imputing your payment information. You may also submit a cash or check payment to RE Office. All check's should be made payable to St. Vincent's.

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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