March for Life 2020 (January 22-26, 2020)
The March for Life is quickly approaching! This amazing pilgrimage allows us to stand up for those who cannot stand up for themselves. By completing this form you are reserving one spot for that participant.

Get the stjoelt Winter Retreat Combo for $330!
Sign up for the winter retreat here: https://forms.gle/Y7xJNgNvd5y3wtz5A

Basic Info:
Cost: $260
Dates: Jan. 22-26, 2020
Email address *
Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Emergency Contact's First/Name and relationship *
Your answer
Participant's Cell phone # (xxx-xxx-xxxx) *
Your answer
Emergency Contact's Cell phone # (xxx-xxx-xxxx) *
Your answer
Participant's primary email *
Your answer
Emergency Contact's primary email *
Your answer
Please list at least FOUR other participants of the same gender you wish to room with. You may also put random. (EX: John Smith, Joe Johnson, Mark Chrismer, Patrick Russell) *
Your answer
Participant's t-shirt size *
The deposit payment of $75 is due a week after registration form is completed. Due to limited spaces, we ask that you do this ASAP after registration. Final payment must be turned in no later than December 18. Please check the below box agreeing to pay that amount by the due date. *
Required
In order to create the most prayerful and meaningful retreat experience, St. Joseph Cottleville LifeTeen has a list of expectations all participants MUST abide by. Participant, by checking each of the below boxes you agree to abide by these expectations. *
Required
If participant has any food allergies please list them below. *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of St. Joseph School. Report Abuse - Terms of Service