High School Fellowship Weekend – Grades 9-12

All personal information provided will be kept strictly confidential

* These fields are required

1 Welcome

2 Price/Lodging Options: Remember to select the number of guests in your party

3 People in your party

Guest 1		First Name* Last Name* Email* Gender*
Guest 1		First Name* Last Name* Email* Gender*

4 Guest Details

Address
Address 2
City
State/Prov.
Zip/Postal
Country
Comments or Special Needs	Please provide us with any special needs you and your party may have regarding housing accommodations. We will do our best to honor all requests, based on availability. Please contact us with any questions.
Gender *
Birth Date *
Special Diet *	Please let us know if you, or anyone in your party choses to follow a special diet. We will do our best to accommodate all dietary needs, based on food availability and pricing. Please contact us with any questions.
Food Allergies	Please list any food allergies you or anyone in your party have. We will do our best to provide meal options that will accommodate your needs, based on food availability and pricing.
Emergency Contact Info *
Medical Issues	Please let us know if you or anyone in your party have any serious medical issues that we need to be aware of.
Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Home Parish	Please list the parish that your child attends most often

5 Payment