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Resend Confirmation

JULY 8-15, 2023

Monsignor O'Dwyer Retreat House

APPLICATION PERIOD: February 1 - May 30, 2023

Participant Application Information (To Be Completed by Participant)

Registration Options*

Registration with $100 deposit ($100.00)

Name of Applicant*

Date of Birth*

GRADE (as of September 2023)*

Address*

Home Phone Number*

Cell Phone Number*

Email*

Gender*

Male
Female

Parent/Guardian Name*

Parent/Guardian Email*

Parent/Guardian Cell Number*

Select a Virtual Orientation

Tuesday, June 6, 2023 6:30 to 8:30 p.m.

T-Shirt Size*

Small
Medium
Large
X-Large
XX-Large

Parish/School Information

Parish*

School*

Choose which is Sponsoring*

Parish
School

Sponsoring Parish/School Address*

Sponsor's Name*

Sponsor's Ministry Title*

Sponsor's Ministry Phone Number*

Sponsor's Cell Phone Number (optional)

Sponsor's Email*

Program Fees

$690 for Baltimore Archdiocesan Parishioners and Students; $740 Out of Diocese Participants

$100 deposit required at the time of this application - refundable only if applicant is not accepted into the program

Final payment is due at the time of registration (a separate link) after the student is accepted, and by credit card only online.

RegFox Event Registration Software

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