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Texas Ordinariate Youth Retreat

- Resources

Come get to know teens from other Ordinariate parishes throughout Texas!

When: June 5-8, 2024

Where: C hrist Central Camp in Beaumont, TX

Fill out the form and make payment below.*

Print, fill out, and turn in this registration packet to your parish youth leader.

Register no later than Friday, May 3.

*$150 Deposit required at registration and is nonrefundable after May 3.
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- Family Name [Last Name] REQUIRED Please fill out this field. Please enter valid data.
- Email 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.
- Parish REQUIRED Please fill out this field.
- Number of Attendees (including chaperones) You are Registering? REQUIRED Please fill out this field.
  
  Attendee 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.
  
  Youth or Chaperone? REQUIRED Please fill out this field.
  
  Date of Birth [MM/DD/YEAR] REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Dietary Restrictions?
  
  Payment Options REQUIRED Please fill out this field.
  
  Attendee 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.
  
  Youth or Chaperone? REQUIRED Please fill out this field.
  
  Date of Birth [MM/DD/YEAR] REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Dietary Restrictions?
  
  Payment Options REQUIRED Please fill out this field.
  
  Attendee 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.
  
  Youth or Chaperone? REQUIRED Please fill out this field.
  
  Date of Birth [MM/DD/YEAR] REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Dietary Restrictions?
  
  Payment Options REQUIRED Please fill out this field.
  
  Attendee 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.
  
  Youth or Chaperone? REQUIRED Please fill out this field.
  
  Date of Birth [MM/DD/YEAR] REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Dietary Restrictions?
  
  Payment Options REQUIRED Please fill out this field.
  
  Attendee 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Youth or Chaperone? REQUIRED Please fill out this field.
  
  Date of Birth [MM/DD/YEAR] REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Dietary Restrictions?
  
  Payment Options REQUIRED Please fill out this field.
  
  Attendee 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Youth or Chaperone? REQUIRED Please fill out this field.
  
  Date of Birth [MM/DD/YEAR] REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Dietary Restrictions?
  
  Payment Options REQUIRED Please fill out this field.
Total:

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