Registration for a

Confirmation Retreat


Teen's First Name:*
Teen's Last Name:*
Teen's phone #:*
Does this phone text?*
Enter Huddle name or coach name or from SJS:*
What is your first choice for retreat? *
What is your second choice of retreat? *
Do you have a parent that would be willing to help in some way? *
If you are able to help, please choose one of the following ways:
Parent's Name:
Parent's email:
Parent's phone:
Does this phone text?
Have you gone through Protecting God's Children?