Fall Getaway 2012 Registration

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Need to get away from it all — to relax, take a break from school? Come to an overnight full of outdoor fun. Meet at St. Monica-St. George Saturday, September 29th at 9 am and depart for Camp Ernst. Return Sunday, September 30th around one pm. Cost is $35, nonrefundable, and partial scholarships are available (we do ask that you give us a some money to reserve your spot). Space is limited, so register soon! Registration due by September 23rd.

Name *

Email Address *

Phone Number *

Do you have any allergies or health issues we should know about before we embark on an overnight in the woods? *

I will pay my $35 by *

Check made payable to St. Monica-St. George Parish Newman Center and mailed to 328 W. McMillan St., Cincinnati OH, 45219

Check made payable to St. Monica-St. George Parish Newman Center and dropped off at the parish office.

Cash given to Michael or Leslie or the parish office.

I need a scholarship, and I will let Leslie or Michael know how much of the fee I can pay to reserve my spot.

Required

In terms of getting to Camp Ernst: *

I need a ride.

I can drive myself.

I can drive myself and some others.

Required

Emergency contact person's name *

Emergency contact person's phone number *

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