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  • INDIVIDUAL registration is available for Confirmation Candidates and a parent or chaperone  Please print the following forms: 

    • Packing List / Information Letter
    • Medical Consent/Liability Waiver (Youth)
    • Medical Consent/Liability Waiver (Adult/Chaperone)
    • Chaperone Policy
  • (Parent or chaperone must have proof of current Safe Environment Training)
  • Individual Registration
    • Candidate's Name REQUIRED Please fill out this field. Please enter valid data.
    • Gender REQUIRED Male Female Please fill out this field.
    • Parent/Chaperone Name Please enter valid data.
    • Gender Male Female
    • Mailing Address Please enter valid data.
    • City Please enter valid data.

      State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

      Zip Please enter a zip code.
    • Phone Number Maximum 20 characters Please enter a phone number.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • Do you or anyone in your group have any Dietary Restrictions or other Special Needs REQUIRED Please fill out this field.
    • Safe Environment (formerly Virtus Training) YES, I have completed the required Safe Environment Course and will provide Proof of Course Completion from my parish. No, I have not taken the course yet, but will complete it prior to retreat. No, I am unable to take the course and be a chaperone.
  • Registration Fee (Payment can be made by credit card on the next page, or you can mail a check to Christian Renewal Center, PO Box 699, Dickinson, TX 77539) REQUIRED 99.0 – Early Registration (by Oct 4, 2019) 119.0 – Regular Registration (Oct 5 - Dec 4, 2019) 139.0 – Late Registration (Dec 5, - Jan 2, 2020) 25.0 – Deposit only (NOTE: remainder of payment is due by deadline shown above to receive the early or regular registration rate) Please fill out this field.
  • # Attending (including Youth Minister, Candidate(s), and/or parent/chaperone) REQUIRED Please fill out this field. Please enter an integer (number).

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