Retreat Permission and Registration

We look forward to spending the weekend with your teen as they grow in faith!  Please fill out this form and submit at least one week before the retreat.  

Retreat fee is $125.  The true cost is $150 per youth, so please know that we are subsidizing these retreats.

You'll notice several retreats on the drop-doown menu.  Please choose the retreat you are interested in attending.

The retreats will be held at Father Bernard Youth Center, Mt Angel, Oregon. 980 South Main Street, Mt. Angel, OR 97362


Retreat Type
Upcoming Retreats
School Year (2018-2019)
Participant Phone --
Photo Consent
Please make us aware of any allergies, including food allergies.
Home Parish
Family Information
Parents' Names
Parent's Phone --
Parent's E-mail
Message I give my permission for the above mentioned youth to attend a retreat with Holy Redeemer Catholic Parish.
Carpool Avaliability
Please let us know how many seats you have available for youth.
Code of Conduct
Youth Code of Conduct Agreement
Please read through and check each statement as an acknowledgement of behavior expectations.
Emergency Information
Consent for Treatment
Emergency Contact (Name and Number)
Family Doctor (Name, Number, Address)
Health Plan (company, group #, and policy #)
Over the Counter Meds
Shopping Basket Please either select a payment below or enter an alternate payment in "personal charge" if you have been told to do so (e.g. if you are receiving a scholarship). DO NOT do both.  
Selection Extended

Retreat Fee | $125.00

Out of Parish Additional Fee | $25.00


Order Summary
Sales Tax
Shipping & Handling

Payment Type


Personal Charge $ DO NOT FILL OUT unless you are paying a different amount than the regular cost of the retreat. If you are paying a different amount, do not check the “retreat fee” box above.