FEARLESS Retreat Sign Up
A fun and unforgettable overnight retreat for girls grades 7-8. Become fearless through freedom in Christ!

This event is geared toward helping 7-8 grade girls become fearless and free by experiencing Jesus's love for them and discovering their feminine genius. The retreat will include skits, games, sports, crafts, live music praise & worship with adoration, time for prayer, small groups, talks, and much more!

Feb. 9-10, 2019
Starts Saturday morning at 9 a.m.
Ends Sunday morning at 10 a.m. (Mass is being celebrated in the SCA chapel at 9 a.m. Sunday morning. Families are invited to attend!)

Cost: $50

Hosted at St. Catherine of Siena Academy with Be Love Revolution

Student's First Name *
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Student's Last Name *
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Home Address *
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Parent(s)/Guardian(s) First and Last Names *
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Parent Phone # (Best number to reach you) *
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Parent Email Address *
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Emergency Contact Name and Phone # *
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List Any Medical Conditions, Allergies, or Current Medications *
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Student's Date of Birth *
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Grade *
Current School *
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How did you first hear about SCA? *
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Permission Form
*** Parent/Guardian Permission *** By electronically signing this form, I as parent/guardian consent to have my daughter participate at the Fearless Retreat at St. Catherine of Siena Academy on February 9 and 10, 2019. I understand that this event will take place on the school grounds and that my child will be under the supervision of designated school employees and the Be Love Revolution team on the stated dates. As parent or legal guardian, I remain fully responsible for the actions and conduct of my child. I, the undersigned, hereby release, forever discharge, and agree to hold harmless St. Catherine of Siena Academy and the Archdiocese of Detroit, Michigan, from and against any and all liability, claims, demands, lawsuits and expenses of any kind arising from personal injury, sickness death, or property damage of any kind whatsoever which may be incurred or suffered by the undersigned and participant. *** Medical Release *** As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed Medical Doctor in an emergency which, in the opinion of the attending physician, may endanger the life of the student, cause a disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. I further consent to the conditions stated above on participation in this event, including paying all medical bills *** Media Release *** By electronically signing below, I give St. Catherine of Siena Academy permission to print, publish and distribute any and all audio-visual media taken of my child. St. Catherine of Siena Academy further has permission to use these images as well as my child's first name, for promotional and marketing literature, including but not limited to brochures, flyers, newsletters, billboards, presentations, videos and other publications.
Signature - By signing below I, the parent/guardian of the student participant, agree to the terms listed above in the permission form. *
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Click SUBMIT below and you will be taken to a screen to pay the $50 fee to complete registration.
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