Luke 18 8th grade registration form
Luke 18 is May 23, 2021, at St. Nicholas Church from n10:30 a.m. to 6:30 p.m.

Please fill out this registration form for 8th grade students to participate in the Luke 18 retreat. Please complete the online form and print page 2. Please read carefully.

Fill out the page you print (page 2) and submit with the $50 fee to the St. Clare Parish Office by March 29, 2021. No late registrations will be accepted after April 7.
Address: 1411 Cross St., O'Fallon, IL 62269 Attn: Luke 18
Please make check payable to St. Clare Parish (Luke 18).
*Required

Please note: At the end of this online application form, you will need to print the last page and press the submit button in order for your registration information to be recorded.
Sign in to Google to save your progress. Learn more
Student Information
Student's last name *
Student's first name *
Name for name tag (if different than first name)
Example: Matt for Matthew or C.J. for Charles James
Street address *
City *
Zip code *
Student's email address *
Student's phone number *
Age *
Student's school *
List a friend or two you would like to be grouped with *
Gender *
T-shirt size *
Adult sizes
Parish *
Father's first and last name *
Father's phone number *
xxx-xxx-xxxx
Father's email address *
Mother's first and last name *
Mother's phone number *
xxx-xxx-xxxx
Mother's email address *
Medical consideration/allergies (please explain) *
Food allergies *
Emergency contact *
Name of parent or other contact
Emergency contact primary phone number *
xxx-xxx-xxxx
Emergency contact secondary phone number *
xxx-xxx-xxxx
Parent volunteer section
Please consider offering to help make this weekend a big success.
I would be happy to bring individual snack packs to share. *
Examples: chips, cookies, rice krispie treats
I would be able to work a shift in the kitchen, if needed *
Press submit button after printing the second page
Your registration is not complete until you print the last page and press the submit button.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy