Salesian Sisters Middle School Confirmation Retreat

Saturday, March 2, 2024 from 10:00am-5:00pm
St. Anthony tri-parish catholic school
casper, Wyoming

Please complete the form below to register for the Salesian Sisters Middle School Confirmation Retreat.

Saturday, March 2nd, 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)

Date of Birth(Required)

Grade Level(Required)

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)

Date of Birth(Required)

Grade Level(Required)

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)

Date of Birth(Required)

Grade Level(Required)

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)

Date of Birth(Required)

Grade Level(Required)

Special Health Problems and/or Allergies

Medication and Dosage if needed during the day

Permission and Releases

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 Link

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.