Covenant Weekend Registration Form

Covenant Weekend - Registration Form
Address
City
State/Province
Zip/Postal
Country
Please write the names of the young women you would like to share a room/dorm with
If you are under 18, please have one of your parents/guardians read the statement below and sign their full name: By signing my full name I am aware that my daughter is attending this event. I herewith give my permission and assume all responsibility and liability for any illness or accident that might occur to my daughter during her stay at the Schoenstatt Retreat Center. I also authorize medical personnel to provide emergency treatment in case I cannot be reached.
Please note an additional fee is added for payments through PayPal. If you prefer not to pay the additional fee, please mail in the $10 non-refundable deposit or $60 full payment. Your spot will only be secured once we receive the non-refundable deposit. The remaining balance is due upon arrival.