Middle School Retreat 2026

Middle School Retreat Registration

A Retreat of Family & Faith. October 17-18 2026 Camp Tejas in Giddings Texas
Student Name

LAST NAMEFIRST NAME
Student Date of Birth
Choose one below
Student Gender
Parent Name
Parent Cell Phone Number
Format: (000) 000-0000.
Parent Email Address
example@example.com
Emergency Contact information: Name of EC, Relationship, Phone Number
List any Allergies and their severity (Food, pollen, medications, etc.)
In Case of Emergency, and if I am not available, please call (List name and phone number)
Insurance Details
I give my permission for any responsible adult to give emergency treatment to my son/daughter. Please sign below

_________________________________________________________________
Signature
I give permission for my son/daughter's picture to be used on the website or other advertising for youth ministry. Please sign below

____________________________________________________________________
Signature
This is to certify that my son/daughter has my consent to attend the Middle School retreat on October 17th-18th, 2026 at Camp Tejas in Giddings Texas, 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
Signature

Registration Deposit

The remaining balance must be paid when dropping off for retreat

$40.00

Student Full Registration Fee

$80.00

Team Full registration

The other $30 must be paid before drop off for retreat

$70.00

Total

Middle School Retreat Registration