Diocesan Youth Day Retreat Registration Form

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Register for one of the 2025 Diocesan Day Retreats that are happening in different parts of Vermont. To see full details, please take a look at the individual event page on the Diocesan website for the retreat of your choice.

Which Diocesan Day Retreat would you like to sign up for? *

January 4: St. John Vianney Parish, South Burlington

January 18: Mount Saint Joseph Academy, Rutland

February 22: Father Lively Center, St. Johnsbury

March 1: Sacred Heart St. Francis De Sales Parish Center, Bennington

May 17: St. Charles Parish, Bellows Falls

What is the student's name? *

What is the student's email? *

What is the student's date of birth? *

YYYY

Please list any of the student's food allergies or dietary restrictions: *

What is the parent's name? *

What is the parent's email? *

What is the parent's phone number? *

We are always looking for chaperones for retreats like this. Parent, would you be willing to chaperone for the day? *

Yes

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