January Confirmation Retreat
January 10th-11th 2026
Student name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Grade
Leadership team
10th
11th
12th
Gender
Female
Male
t-shirt size
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Small
Medium
Large
XL
XXL
XXXL
Other
Parent's Name
First Name
Last Name
Parent Phone Number
Parent email
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List of any allergies and their severity (Food,pollen, medicines, etc.)
In Case of Emergency, and if I am not available, please call (List name and phone number
First Name
Last Name
Relationship to teen
Phone Number
Insurance Details
I give my permission for any responsible adult to give emergency treatment to my son/daughter. Please sign below
This is to certify that my son/daughter has my consent to attend the Confirmation retreat on January 10th-11th, 2026 at Slumber Falls in NB TX, sponsored by the Office of Youth Ministry at Sts. Peter and Paul Church, New Braunfels, TX. I hereby release the Office of Youth Ministry, Sts. Peter and Paul Church and the Archdiocese of San Antonio from any liability for injuries or fatalities suffered by my child while he/she is under the supervision of the sponsors of these activities. Please sign below
I give permission for my son/daughter's picture to be used on the website or other advertising for youth ministry. Please sign below
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Full Registration
$
80.00
Retreat Deposit
$
40.00
Leadership Team
ONLY FOR THOSE ON TEAM
$
45.00
Credit Card
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