Pre-servants St.Mary pre-servants Ministry Retreat Registration Date: November 22nd to 24th , 2024 Location: Sandy Cove Ministries Cost:$160 per participant Deadline for registration: November 15th, 2024 How many participants are you registering ? One Two Emergency InformationEmergency contact Name First Last Emergency contact Email(Required) Emergency contact PhoneFirst Participant InformationFirst Participant Name(Required) First Last First Participant Email First Participant T-Shirt Size(Required)Please choose oneAdult SmallAdult MediumAdult LargeAdult Extra LargeAdult 2X LargeWhich Committee would you like to be part of?(Required)Please choose oneGames (Planning and taking the lead)Praise and Worship (Songs and Tasbeha)Budget PlanningCleaningCommunications (announcements before and during retreat)Second Participant InformationSecond Participant Name(Required) First Last Second Participant's Email Second Participant T-Shirt Size(Required)Please choose oneAdult SmallAdult MediumAdult LargeAdult Extra LargeAdult 2X LargeWhich Committee would you like to be part of? (Second Participant)(Required)Please Choose oneGames (Planning and taking the lead)Praise and Worship (Songs and Tasbeha)Budget PlanningCleaningCommunications (announcements before and during retreat)Health Insurance InformationHealth Insurance Provider(Required) Policy Number(Required) Is the participant younger than 18?(Required) Yes No Consent(Required) I agree to the Consent BelowI agree to take part in the church trip described above. I hereby authorize the trip leaders to act on according to their best judgment in an emergency requiring medical attention, and I agree to take responsibility for the expense of such a procedure. I understand that while the leaders will try to act in their best ability, I will not hold them or the Church responsible for any accident or injury. I understand all reasonable safety precautions will be taken at all times by trip leaders during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold the Church or leaders liable for damages, losses, diseases, or injuries incurred by the subject of this form.Consent(Required) I agree to the consent belowI give permission for my child, . to take part in the church trip described above. I hereby authorize the trip leaders to act on my behalf according to their best judgment in an emergency requiring medical attention, and I agree to take responsibility for the expense of such a procedure. I understand that while the leaders will try to act in their best ability, I will not hold them or the Church responsible for any accident or injury. I understand all reasonable safety precautions will be taken at all times by trip leaders during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold the Church or leaders liable for damages, losses, diseases, or injuries incurred by the subject of this form. Parent Name First Last Payment OptionsPayment plan(Required) Pay in Full Pay over 6 month Total Amount DueTotal Registration Due Now Amount: $0.00 Would you like to donate to support the Ministry? Please enter donation amount aboveTotal Due Credit Card InformationCredit Card(Required) Cardholder Name Card Details