8th Grade Retreat Registration

8th Grade Discovery Retreat
October 21st-22nd, 2017

“Place in this World”

What to expect:
ICE BREAKER GAMES * WITNESS TALKS * DISCUSSIONS * QUIET TIME
PRAYER * LITURGY * MEALS * RECREATION  *FREE TIME * FUN!

Eighth Graders: Please come to Albrecht Acres at 10:00 A.M. on Saturday morning to
check in. Pick up will be 3:30pm on Sunday.

Please Bring:
Pillow, sleeping bag, towels/toiletries, swimming suit for showers, casual clothing
and shoes – bring an extra pair of shoes and/or slippers, a snack to share – boys bring
a salty snack / girls bring a sweet snack


Leave at Home:
Homework, Illegal substances, anything that keeps you from being present


Registration ends on Friday, Oct. 13th Registrations are accepted
on a first come, first serve basis.

Cost: $60 

  Please make checks payable to St. Anthony and drop them at the St. Anthony parish office or bring them to the retreat.

Confidential financial assistance is available.

If you have questions, please contact:
Marcy Mueller 563-321-8405

8th grade retreat registration

Student Information


Parent/Guardian Information

xxx-xxx-xxx


Emergency Contact Information

Family Medical Information

xxx-xxx-xxx

Required Permissions

The following require a "Yes" or "No" response for each of the required permissions.

Consent and Liability Waiver

EMERGENCY MEDICAL TREATMENT PERMISSION

ILLNESS NOTIFICATION

NONPRESCRIPTION MEDICATION PERMISSION

ALLERGY INFORMATION

ASTHMA INFORMATION

PRESCRIBED DIET INFORMATION

PHYSICAL LIMITATIONS INFORMATION

OTHER MEDICAL INFORMATION


MEDIA RELEASE AND AUTHORIZATION

Electronic Signature

This is a binding electronic signature