John Paul II Pastoral Unit
Youth Ministries
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Registration fee is $5.00 each student, which covers the cost of food for supper which will be provided. Please bring the $5.00 to your next YDG class and give it to Louise.
Please register below by filling in all fields. If a field does not apply to you enter N/A.
Youth's First Name
Last Name
Age
Grade in School
Select a Grade
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Parish
Home Phone
Mother/Guardian's First Name
Last Name
Father's First Name
Last Name
Address
Emergency Contact Name
Emergency Contact Phone
Medical Conditions
Food Allergies
Note: **If someone else will be picking up your child after the retreat, please indicate who they are below:
Name
Phone
Your Sub Sandwich Choices
Select the toppings below you'd like on your sub sandwich.
Mustard
Mayo
Pepperoni
Salami
Ham
Green Pepper
Lettuce
Tomato
Onion
Mozza Cheese Slice
Select which size of sub you'd like.
1/2 Sub
Full Sub
Please type the following code in the space available below to validate your form.
Code
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