2026 FAM Lenten Retreat

2026 FAM Lent High School Retreat

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PARTICIPANT INFORMATION

FIRST NAME*

LAST NAME*

Date of Birth*

AGE*

GENDER*

Allergies/Medications/or Special Needs (If NONE, write NONE)*

PARTICIPANT MOBILE PHONE*

PARTICIPANT EMAIL ADDRESS*

SWEATER SIZE*

Parent #1 Information (Primary Contact)

Parent First Name #1*

Parent Last Name #1*

Relationship #1*

Marital Status #1*

Parent Email #1*

Parent Mobile Phone #1*

Parent #2 Information

Parent First Name #2*

Parent Last Name #2*

Relationship #2*

Marital Status #2*

Parent Email #2*

Parent Mobile Phone #2*

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Home Address

Home Address*

Street Address City State ZIP Code

Emergency Contact Information

Must be Age 18 Years or Older

Emergency Contact First Name*

Emergency Contact Last Name*

Relationship to Child*

Emergency Contact Phone*

Payment Information

PLEASE MAKE PAYMENT ONLINE: For more information, please contact the parish office at 619-579-7913

Registration Fee is $120 per child*

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Total Registration Fee

Credit Card*