Regnum Christi Ohio Valley - Girls Day Retreat - October 22, 2023

PARTICIPANT INFORMATION

Number of Participants REQUIRED Please fill out this field.
Participant 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
Participant 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
Participant 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.
Participant 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate REQUIRED Please fill out this field. Please enter a date.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade in School (2023-2024) REQUIRED Please fill out this field.
- Allergies or Medical Problems Please enter valid data.
- Does participant have any behavioral, psychological or medical situations to be aware of? REQUIRED Yes No Please fill out this field.
- If yes, what types of accommodations would she need over the retreat weekend, if any? A member our pastoral team will be in touch with you. Please enter valid data.

Challenge Club Name REQUIRED Please fill out this field.

PARENT/GUARDIAN CONTACT INFORMATION for communication prior to the event.

Parent/Guardian Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Alternate Phone Number Maximum 20 characters Please enter a phone number.
Are you interested in volunteering as a chaperone? (Must be SafeParish/Virtus Trained) REQUIRED Yes No Please fill out this field.

Date REQUIRED Please fill out this field. Please enter a date.

*RC Activities reserves the right to deny acceptance to any applicant at any point in this process.

NOTE: Cancelations will receive a refund for the amount paid less $5 to cover our bank fees and processing costs.

Particpant Registration Fee60.0

HS Team Leader Fee45.0

# of Girls (grades 5-8) Please enter an integer (number).

# of HS Team Leaders Please enter an integer (number).

Your additional donation is appreciated to support the ministry of our LC priests and Consecrated Women of Regnum Christi, who are running this retreat. Thank you!

Additional Donation $ Please enter a positive decimal.

Girls Day Retreat - October 22, 2023

Event Details

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