Junior Retreat Registration & Agreement  2018
Thank you for your interest in Junior Retreat! These off-campus encounters through Notre Dame High School are valued as significant experiences in a student’s spiritual growth. Please read the registration information below, submit the form electronically and check your email for receipt confirmation.

Junior Retreat Information:
Junior Retreat is a two day/one night experience focusing on the theme of balance & self-image. This retreat will take place on Thursday November 15 - Friday November 16, 2018 at Camp Redwood Glen in Scotts Valley, California. The cost of the Junior Retreat is $160. This fee includes all meals, lodging, transportation and supplies.  


                       ** PLEASE READ the attached information sheet for eligibility and participation requirements:

                                                                               https://tinyurl.com/yb8fhstn

For any questions or concerns regarding retreat registration, please contact Julianne Johnston, Campus Ministry Event and Program Coordinator, at jjohnston@ndsj.org or (408) 294-1113 x2118.  For question regarding registration fee payments, please call the Business Office at (408) 294-1113.


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Email *
Junior Retreat Registration Form
We are excited that you are interested in junior retreat! For your information, the second section of this registration form requires a parent present to authorize payment through FACTS.
Student First Name *
Student Preferred Nametag Name *
Name you want on your name tag and are commonly called. (e.g. Student's First Name is Katherine. Preferred name is Katie. It may be your given name.)
Student Last Name *
Mentor *
Student Birthday *
MM
/
DD
Participation in ND Fall/ Winter Sport or Drama Activity *
Some activities may have a retreat date conflict, e.g. drama, basketball, tennis.  Campus ministry will work with co-curricular program coordinators to place students accordingly.
Required
Student Cell Phone Number
We collect this information for emergency purposes only.  Please include dashes in phone number
Student ND Email Address *
ND email: all retreat communication will use this email address
Dietary Restrictions *
Please indicate any food restrictions or allergies of student (e.g. lactose intolerant, allergic to nuts, no pork)
Required
Parent, Guardian, and Family Contact Info
Please complete this section in conjunction with a parent or guardian.
First Name Parent or Guardian 1 *
Last Name Parent or Guardian 1 *
Relationship of this Family Member to you 1 *
E.g. mother, father
Contact Number Parent or Guardian 1 *
please include dashes in phone number
Email Parent or Guardian 1 *
First Name Parent or Guardian 2
Last Name Parent or Guardian 2
Relationship of this Family Member to you 2
E.g. mother, father
Contact Number Parent or Guardian 2
please include dashes in phone number
Email Parent or Guardian 2
Thank you for this information! The next section requires a parent to authorized payment.
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