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Youth Group

- Parish Life

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- YG Advent Retreat Registration
  December 6th - 8th
  The retreat will be held at Mt. Lebanon Retreat Center.
  The cost of this retreat is $100 per teen. Scholarships are available please email kaleb@stmichaelgptx.org for scholarship information.
- Teen Name REQUIRED Please fill out this field. Please enter valid data.
- Teen Age REQUIRED Please fill out this field. Please enter valid data.
- Teen Grade Level REQUIRED Please fill out this field. Please enter valid data.
- Teen T Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Parent Name REQUIRED Please fill out this field. Please enter valid data.
- Parent Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Does the Teen have any allergies? REQUIRED Yes No Please fill out this field.
- If Yes what is the teen allergic to?
- Does the teen take any medication? REQUIRED Yes No Please fill out this field.
- If yes what medication does the teen take?
- Is it okay for the leader to administer medicine to your teen if needed (tylenol, benedryl, advil). REQUIRED Yes No Please fill out this field.
- Insurance Company REQUIRED Please fill out this field. Please enter valid data.
- Policy Holder Name REQUIRED Please fill out this field. Please enter valid data.
- Insurance Identification number REQUIRED Please fill out this field. Please enter valid data.
- Insurance Group Number REQUIRED Please fill out this field. Please enter valid data.
- This retreat is supposed to spiritually enrich the lives of those participating and because of that a code of conduct in line with the Gospels and common norms will be enforced so that all on the retreat can have a good experience. By clicking yes below you agree to listen to all instructions asked of you by the leaders and adults of the group. You also acknowledge that if you violate the golden rule that you may be removed from the retreat.
- I acknowledge and will abide by the above statement. REQUIRED Yes No Please fill out this field.
- Retreat Payment REQUIRED Please fill out this field.
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