MSA Fall Retreat Form

Middle School Fall Retreat Registraiton

By submitting the form below you are registering for STM's Middle School Fall Retreat on October 23rd - 25th, 2026 at Life Teen Camp Hidden Lake.

Registration will close one week before the retreat occurs: midnight of Friday, October 16th. Refunds can only be issued up until Friday, October 16th, as well.

// Teen Information

Teen's First Name

Teen's Last Name

Teen's Sex

Male

Female

Teen's Birthday

Month

Day

Year

Teen's Home Address

Country/Region

Address

City

Zip / Postal code

Teen's T-Shirt Size

Teen's Parish of Registration

If your teen is not registered with our MSA group, how did you hear about our fall retreat?

// Parent Information

Mother's Full Name

Mother's Phone

Father's Full Name

Father's Phone

Primary Parent Email

Secondary Parent Email

// Emergency Contact

Emergency Contact's Full Name

Emergency Contact's Relation to Teen

Emergency Contact's Phone

// Considerations

List any medical or other special considerations for your teen

List any allergies for your teen

List any medications and dosages for your teen

List any custodial issues for your teen

// Policies

You can find all policies on the page linked here: Policies

I accept the liability release policy (required)

I accept the permission to seek emergency care policy (required)

I accept the media release policy (required)

I accept the permission to contact youth policy (not required)

// Payment

Registration Options:

Middle School Fall Retreat - Standard Registration$215

Middle School Fall Retreat - Half Scholarship Registration$100

Middle School Fall Retreat - Full Scholarship Registration$0

Scholarship registrations required prior approval, so please email Johnny Ede (jede@saintmoncias.com) to seek approval if you have not already.

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