Registration - Roots for Middle School Students 2020
March 8 - 11, 2020

Pallottine Retreat Center, Florissant, MO

The program will start at 4 p.m. on March 8th and will conclude by 12 p.m. on March 11th.

Questions? Contact Karen (cornellk@cshct.org) or Kristin (kristin.monfredini@sacredsf.org)

Please register each student and educator separately.
Email address *
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First Name *
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Last Name *
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Preferred First Name for Badge *
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School *
Are you a student or an educator? *
Role or Grade Level *
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Phone #1 - School/Work (###-###-####) *
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Phone #2 - Mobile (###-###-####) *
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Arrival date *
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Departure Date *
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Emergency Contact Name *
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Emergency Contact Phone (###-###-####) *
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Dietary or Food Allergies/Issues
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Medical Allergies/Issues
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Questions or Comments for the Organizers
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