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High School Life Teen Retreat

- Learn & Grow

High School Retreat

March 14, 2020

Where: Saint Simon
(Teens are NOT allowed to leave & return the retreat once they arrive)

Start time: 8.30 AM

Finish time: 8.00 PM

Cost: $50, Checks made to Saint Simon or PAY ONLINE BY CLICK HERE.
(Scholarships are available)

Registration: Register online or you can register on the day of the retreat (Saturday morning) at 8.00 am Please note: Retreatants who register by 2/24 will be guaranteed a retreat t-shirt. Those who register after will receive a t-shirt while supplies last.

An e-mail will be sent to parents 1 week prior to retreat with additional details and packing list. Questions please contact Eric Marasco at 317.826.6000 or at emarasco@saintsimon.org
Registration for High School Retreat
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- Complete form for each high school student attending.
  After completing the form please either drop off check at parish office or pay by CLICKING HERE
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Student Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Student E-Mail REQUIRED Please fill out this field. Please enter valid data.
- High School REQUIRED Please fill out this field. Please enter valid data.
- 2018-19 Grade REQUIRED Please fill out this field. Please enter valid data.
- T-Shirt Size-After September 22 REQUIRED Please fill out this field. Please enter valid data.
- Father's First Name Please enter valid data.
- Father's Last Name Please enter valid data.
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's First Name Please enter valid data.
- Mother's Last Name Please enter valid data.
- Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- I, (as parent/guardian) grant permission for my child, to participate in all Life Teen events/activities between August 2018 to July 2019, sponsored by the Saint Simon the Apostle Youth Ministry Office. I/We hereby release and save harmless Saint Simon the Apostle and any and all of its employees from any and all liability for any and all harm arising to my/our son/daughter as a result of any event/activity/trip.
- I Agree Please select this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Please list any allergies or special medical problems that your child may have: Please enter valid data.
- Please list any over the counter medications that you give permission to be administered by an adult to your child: Please enter valid data.
- INSURANCE COMPANY REQUIRED Please fill out this field. Please enter valid data.
- POLICY NUMBER REQUIRED Please fill out this field. Please enter valid data.
- We believe that both the youth and the Parish benefit from positive recognition. There may be occasions for media coverage including your child(ren) throughout the year. We ask permission to release this type of communication. This could include, but not limited to:
  
  Public Media: Newspaper, TV, Catholic Moment, any other public media. Church Media: Bulletin Boards, Parish Videos, Quarterly Newsletter, any other church media.
  
  Web Based Media: Parish Web Site, Other related ministry and religious web sites.
- I Agree Please select this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- I understand my son or daughter can not leave the retreat during the weekend. We will finish Satruday after 5.30pm Mass.
- I Agree Please select this field.
Submit