Vocations Event – Called and Sent Retreat

FirstLastGenderDate of BirthGrade you will be in Fall, 2023Participant EmailPhoneParishName of parent(s)/guardian(s)Address of parent(s)/guardian(s)Email of parent(s)/guardian(s)Phone of parent(s)/guardian(s)Name of Medical InsurancePolicy #Name of Emergency ContactPhone of Emergency ContactMedical AuthorizationRelease of Liability for Youth and AdultsCode of Behavior for Youth and AdultsPhoto ReleaseDo you verify that you are the parent(s)/guardian(s) of the person(s) being registered?eSignatureDate
FirstLastGenderDate of BirthGrade you will be in Fall, 2023Participant EmailPhoneParishName of parent(s)/guardian(s)Address of parent(s)/guardian(s)Email of parent(s)/guardian(s)Phone of parent(s)/guardian(s)Name of Medical InsurancePolicy #Name of Emergency ContactPhone of Emergency ContactMedical AuthorizationRelease of Liability for Youth and AdultsCode of Behavior for Youth and AdultsPhoto ReleaseDo you verify that you are the parent(s)/guardian(s) of the person(s) being registered?eSignatureDate