2020-21 Confirmation Retreat

- Faith Formation

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- When: Saturday, March 6, 2021, from 9 am-9pm
  
  Where: Mary Queen Catholic Church, 606 Cedarwood Drive, Friendswood, TX 77546
  
  Who Can Come? 2021 Teen Confirmation Candidates
  
  How Much? $150
  
  Additional Info: The Retreat includes, fun activities, a t-shirt, a light breakfast, lunch and dinner, a professional retreat facilitator, special guest speakers, and live music.
- Parents/Guardians
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Number (xxx-xxx-xxxx) REQUIRED Please fill out this field. Please enter a phone number.
  
  Additional Phone Number Please enter a phone number.
  
  Preferred Email for Correspondence REQUIRED Please fill out this field. Please enter an email address.
- Number of Candidates to be Registered REQUIRED Please fill out this field.
  
  Candidate 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.
  
  Candidate Email REQUIRED Please fill out this field. Please enter an email address.
  
  Candidate Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Medical/Health or Allergies REQUIRED Please fill out this field.
  
  Candidate 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.
  
  Candidate Email REQUIRED Please fill out this field. Please enter an email address.
  
  Candidate Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Medical/Health or Allergies REQUIRED Please fill out this field.
  
  Candidate 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.
  
  Candidate Email REQUIRED Please fill out this field. Please enter an email address.
  
  Candidate Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Medical/Health or Allergies REQUIRED Please fill out this field.
  
  Candidate 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.
  
  Candidate Email REQUIRED Please fill out this field. Please enter an email address.
  
  Candidate Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Are there any accommodations we need to be aware of (medical, cognitive, developmental, emotional, physical) that will impact your child's ability to learn or participate in classroom activities? If yes, please list. If no, please write None in the box below.
  
  Special Accommodations, Support, Medical/Health or Allergies REQUIRED Please fill out this field.
- Medical Consent/Liability Waiver
  In the event of an emergency, I hereby give permission to the staff of Mary Queen Catholic Church to seek emergency medical transport or treatment for my child(ren) named above. I wish to be advised before further care is given by the hospital or doctor and I understand that all financial obligations are my responsibility. If I cannot be reached please contact the person listed above.
  
  In consideration of my child's participation in Faith Formation, I agree on behalf of myself, my child(ren) named above, and our heirs, successors, and assigns, to indemnify, hold harmless and defend the Daniel Cardinal DiNardo, Archdiocese of Galveston-Houston, Mary Queen Catholic church, its pastor or any representative of Faith Formation or Yourth Ministry (collectively the "indemnitees") from any and all injuries, losses or claims arising out of my child's participation in the program. I further agree that if anyone on my child's behalf makes a claim against the indemnitees, I will indemnify, save, and hold harmless each of the indemnitees from any litigation, expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.
- Medical/Liability Waiver REQUIRED Please fill out this field.
- I give my child(ren) permission to attend the Mary Queen Confirmation Retreat on Saturday, March 6, 2021 at Mary Queen Church in Friendswood, Texas. I understand and I accept full responsibility for my chid(ren)'s actions. I also give my permission for medical care if necessary for my son/daughter.
  
  I understand that all payments made are non-refundable.
- Electronic Signature REQUIRED Please fill out this field. Please enter valid data.
- Cost150.0
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