FAMILY INFORMATION

Today's Date REQUIRED Please fill out this field. Please enter a date.

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Primary Telephone REQUIRED Please fill out this field. Please enter valid data.

Primary Email REQUIRED Please fill out this field. Please enter valid data.

Street Address REQUIRED Please fill out this field. Please enter valid data.

Apt. # Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Student Registration Information

How many students do you wish you register? REQUIRED Please fill out this field.
Student # 1
- Registering for: REQUIRED Confirmation I Confirmation II Please fill out this field.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.
- Student Middle Name (If any) Please enter valid data.
- Student First Name REQUIRED Please fill out this field. Please enter valid data.
Student # 2
- Registering for: REQUIRED Confirmation I Confirmation II Please fill out this field.
- Student Last Name REQUIRED Please fill out this field. Please enter valid data.

Confirmation Fees 2024-2025

Confirmation I (for one student): $120 (registration) + $95 (retreat) = $215
Confirmation II (for one student): $145 (registration) + $295 (retreat) = $440

Confirmation I Registration REQUIRED 215.0 – Confirmation I 107.5 – Half-Payment (Full Payment due 12/1/2024) 195.0 – Registration for 2 or More Teens (Same Family; Enrolled in the Same Year) 0.0 – Not Registering for Confirmation I 95.0 – Retreat Only (need to speak with Director) Please fill out this field.

How many registrations for Confirmation I?

Enter the number of students you will be paying for this type of registration

Please enter an integer (number) from 0 to 4.

Confirmation II Registration REQUIRED 440.0 – Confirmation II 220.0 – Half-Payment (Full Payment due 12/1/2024) 420.0 – Registration for 2 or More Teens (Same Family; Enrolled in the Same Year) 0.0 – Not Registering for Confirmation II 295.0 – Retreat Only (need to speak with Director) Please fill out this field.

How many registrations for Confirmation II?

Enter the number of students you will be paying for this type of registration

Please enter an integer (number) from 0 to 4.

IMPORTANT: Before pressing Proceed to Payment, please go back and review the form to make sure everything is correct.

retreatpayment

FAMILY INFORMATION

Student Registration Information