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Net Retreat Registration - Nov 6, 2022

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The maximum number of form submissions has been reached. This form is currently not available.
- Please enter all middle school youth registering for NET Retreat on November 6th, 2022 (NET stands for National Evangelization Team)
- 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.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Please check how you can help: Chaperone Hospitality/Meal Host a young adult on the nights of November 5th and 6th
- Are you registered in Religious Faith Formation in the St. Michael the Archangel Pastorate? REQUIRED Yes (if yes, please skip to health information) No (if not, please complete the contact info) Please fill out this field.
- Contact Information
  
  Parent Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Text? Yes No
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parish of Registration Please enter valid data.
- Health Information
  
  Allergies
  
  Anything special we need to know about your child?
  
  Please include any medicine and instructions necessary while your child is in our care.
- $20.00 Registration Fee for each registered youth
  Can be paid online at the link below or by check payable to
  "St. Augustine Parish" with "NET RETREAT" in the memo.
  Checks can be dropped off at the St. Augustine Parish Office or dropped in the collection baskets or mailed to 318 N. McKinley Ave, Rensselaer, IN 47978
  I Agree Please select this field.
Submit

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Link to Online NET Retreat Payment
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