Name of Applicant

Date of Birth

GRADE (as of September 2022)

Address

Home Phone Number

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Cell Phone Number

Gender

Male
Female

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Cell Number

Wednesday, May 11, 2022 7:00 p.m.

Sunday, May 15, 2022 7:00 p.m.

Monday, May 23, 2022 7:00 p.m.

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 with application - refundable only if applicant is not accepted into the program

Final payment is due by July 1st

Please make checks payable to the Archdiocese of Baltimore

Applications and checks must be sent by the parish/school sponsor to:

Office of Family, Youth and Young Adult Ministry

c/o Kristin Rupprecht

St. Margaret Parish

141 N. Hickory Avenue

Bel Air, MD 21014

Please Note: We will only accept parish or school checks. We will not accept a personal check from the participant. It is the responsibility of the sponsoring organization to coordinate payment with the participant.

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JULY 9-16, 2022

APPLICATION PERIOD: March 1, 2022

Participant Application Information (To Be Completed by Participant)

Select a Virtual Orientation

Parish/School Information

Program Fees