The Crux Retreat 9/27-29/2019

Registration

Who : 9th-12th Graders | Where : Camp Zephyr - Sandia, TX  

When :  Sept. 27 - 29, 2020 | Cost : $125

To request a scholarship, please email Father Alfredo Villarreal at pastor@stphilipcc.com                    

 

Registrant
Teen Name
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Parent Name
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Teen Phone Number --
Parent Phone Number --
Teen E-Mail
Parent E-mail
Address
Allergies, Medications, etc..
Please list any allergies, including food allergies, if your teen has any
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Is the retreatant on any medications we should know about/administer out? If so, list below.
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Liability Waiver
I agree on behalf of myself, my heirs, successors, personal representatives and assign to protect, indemnify, save, and hold harmless the Diocese of Corpus Christi, St. Philip the Apostle Catholic Church and their officers, directors, agent,s employees, or representatives associated with the parish adult faith formation program from all damages, claims, suits, expenses and payment on account of or resulting from conditions stated on or resulting from any such injury, death, or damage to property, including resulting from the negligence of the Diocese of Corpus Christi, and parish, and or their officers, directors, and employees arising from or in connection with my attending The Crux Retreat starting September 27, 2019 and going through September 29, 2019.
List (Single Choice)
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Payment
Shopping Basket The cost is $125 which can be paid in FULL or in two separate payments (1. $50 due at registration and 2. $75 due by 9/26). Registration will be available online as well as in the parish office.  
Selection Extended

The Crux (1st Payment) | $50.00

The Crux 2nd Payment (Due by Sept. 26th) | $75.00

OR Pay in Full | $125.00

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