Antioch Retreat Registration
7:30PM Friday, September 29 through 2PM Sunday, October 1
St Jude Parish (1120 4 Mile Rd NE Grand Rapids 49525)
Open to all high school students

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Email *
Student's Name *
Address *
Emergency Contact Number *
Parent/Guardian's Name *
Parent/Guardian's Email *
Student Email *
Birth Date *
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School Attending *
Grade Level *
Required
Parish *
T-Shirt Size *
I would describe myself as... (outgoing, shy, sporty, etc) *
I heard about this retreat from...
Is there any other information we should know?
We now have online payment through one of our parish partners, St Patrick - Parnell! Go to this link to make your registration payment  https://giving.parishsoft.com/App/Form/92bbaf31-5a42-4061-b1cf-f2bb496111e7. (Select: Youth Retreat. $40/student)
I give full permission for my child to participate in the Antioch weekend held at St Jude Parish from Friday Sept 29 2023 at 7:30 p.m. until 2:00 p.m. Sunday Oct 1 2023. I understand that this event has been carefully planned and it is to be held in the church hall for the entire weekend. I will receive full information regarding regulations and guidelines by mail. I fully expect to be notified if my child is disrespectful or uncooperative.
I know that great care shall be taken and that my child will be offered plenty of good food and rest. 
If medical attention is required in the course of the weekend, I hereby give my permission for my child to be treated.
 *
Required
I authorize pictures to be taken of my child to post on our youth ministry page and parish Facebook. *
Required
Parent Signature *
A copy of your responses will be emailed to the address you provided.
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