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About
Meet the Staff
Hispanic Leadership Team
Parish Council
Finance Council
Mass Times
Parish Registration
Resources
Formation
Children’s Formation
Adult Formation
All Parish Formation
Youth Group
RCIA
St. Anthony’s Tri-Parish Catholic School
Ministries
Ministerio Hispano
Sacraments
Baptism
Reconciliation
Holy Eucharist
Confirmation
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Holy Orders
Anointing of the Sick
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Salesian Sisters High School Leadership Retreat
Sunday, March 3, 2024 from 9:30am-5:00pm
St. Anthony tri-parish catholic school
casper, Wyoming
Please complete the form below to register for the Salesian Sisters High School Leadership Retreat.
Sunday, March 3rd 2024 at St. Anthony Tri-Parish Catholic School.
Parent/Guardian Details
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Cell Phone
(Required)
Address
(Required)
Street Address
City
ZIP / Postal Code
Insurance Company
Policy #
Policy Holders Name
Number of Participants to be registered
Please enter a number from
1
to
4
.
First Participant Details
First Participant Name
(Required)
First
Last
Gender
(Required)
Male
Female
Prefer Not to Answer
Date of Birth
(Required)
Month
1
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12
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1921
1920
Grade Level
(Required)
9th Grade
10th Grade
11th Grade
12th Grade
Other
Special Health Problems and/or Allergies
Medication and Dosage if needed during the day
Second Participant Details
Second Participant Name
(Required)
First
Last
Gender
(Required)
Male
Female
Prefer Not to Answer
Date of Birth
(Required)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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25
26
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31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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2003
2002
2001
2000
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1981
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1961
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1953
1952
1951
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1949
1948
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1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade Level
(Required)
9th Grade
10th Grade
11th Grade
12th Grade
Other
Special Health Problems and/or Allergies
Medication and Dosage if needed during the day
Third Participant Details
Third Participant Name
(Required)
First
Last
Gender
(Required)
Male
Female
Prefer Not to Answer
Date of Birth
(Required)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade Level
(Required)
9th Grade
10th Grade
11th Grade
12th Grade
Other
Special Health Problems and/or Allergies
Medication and Dosage if needed during the day
Fourth Participant Details
Fourth Participant Name
(Required)
First
Last
Gender
(Required)
Male
Female
Prefer Not to Answer
Date of Birth
(Required)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade Level
(Required)
9th Grade
10th Grade
11th Grade
12th Grade
Other
Special Health Problems and/or Allergies
Medication and Dosage if needed during the day
Permission and Releases
Permission Consent
(Required)
I give permission.
We(I) give permission for our(my) son(s)/daughter(s) to take part in the following event: Wyoming High School Salesian Leadership Retreat @ St. Anthony's Tri-Parish Catholic School on March 3rd, 2024.
Liability Release
(Required)
I release St. Anthony of Padua Parish, St. Anthony Tri-Parish Catholic School, The Salesian Sisters, participating parishes, and adult chaperones from financial liability.
It is understood that this youth ministry event is under adult supervision and that all reasonable precautions will be taken to prevent accidents and injuries. In the event of an accident or injury we (I) herby release St. Anthony of Padua Parish, St. Anthony Tri-Parish Catholic School, the Salesian Sisters, participating parishes, and adult chaperones from any financial liability whatsoever, resulting from or in any manner arising out of any injury or damage which may be sustained on account of our (my) child’s participation in the above named event; including transportation associated with the event.
Emergency Treatment Release
(Required)
I grant release for my child(ren) to receive emergency medical treatment and/or transportation to the hospital.
In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
OTC Medication Release(optional)
I grant permission to youth leaders to administer over the counter (OTC) medications.
I do grant permission for youth leaders to administer OTC medications, such as ibuprofen, Tylenol, first aid or antacids if needed.
Media Release
(Required)
I grant permission to use my child’s/youth’s name, likeness and/or photographic image in the production print, social media (Facebook, etc.), newspapers, etc. (We will share in a positive manner, representing Christian values. This is a great tool for evangelization!)
I do not grant permission to use my child’s/youth’s name, likeness and/or photographic image in the production of brochures, newsletters, social media (Facebook, etc.), newspapers, etc.
Emergency Contact
Please enter someone other than the parent entered above
Name
(Required)
First
Last
Relation to Participant
Phone
(Required)
Online Payment
After submitting your registration, please use our OSV hub to make your payment for the retreat. You do not need to sign up for an account. Please consider adding an additional $3 to help cover the processing fees.