2024-2025 FATHER / GUARDIAN / FATHER-FIGURE SON RETREAT

October 5-6, 2024
Vallombrosa Retreat Center, Menlo Park
$300 Per Family

Financial Aid Available Upon Request

Father Son Retreat Slots*

Student's Last Name*

Last Name

Student's First Name*

First Name

Student De La Salle Email*

12345@dlshs.org

Grade Level*

9101112

Student's Nutritional Preference*

No PreferenceVegetarianVeganGluten Free

Student's Food Allergies. If none, please type N/A*

Does Father / Guardian / Father-Figure need translation? If so, into what language?

Father / Guardian / Father-Figure's Last Name*

Last Name

Father / Guardian / Father-Figure's First Name*

First Name

Father / Guardian / Father-Figure Phone Number*

Area CodePhone Number

Father / Guardian / Father-Figure Email*

Confirmation email will be sent to this address.

Father / Guardian / Father-Figure's Nutritional Preference*

No PreferenceVegetarianVeganGluten Free

Father / Guardian / Father-Figure's Food Allergies. If none, please type N/A.*

Registration Fee $300 Per Family -- PLEASE NO AMERICAN EXPRESS OR DISCOVER CARD. Payment needs to be received prior to the Retreat. -- Financial Aid is Available Upon Request. *

Father/Son Retreat ($300 Per Family)

$300

	Quantity	Price
Retreat (Enter the number 1)		$300.00
Donation - Optional (Enter the amount you would like to donate.) Thank you for your generosity!		$1.00

Item subtotal:$0.00

Financial Aid Requested - If requesting Financial Aid, you do not need to fill out the billing address section.Campus Ministry will contact you. No payment is necessary at this moment to register. If this option is chosen, please let us know why you are requesting financial aid by filling out the question below regarding Financial Aid.

$ Free

Total

$0.00

Credit Card (Visa or Master Card Only - Please No American Express or Discover Card)

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

If you are requesting Financial Aid, and receive less than 50% in Financial Aid from DLS, or if your son is not a member of the Bishop Cummins community, please let us know in a brief paragraph why you are requesting Financial Aid. Thank you!

If you need to cancel, please contact the Campus Ministry office at 925-288-8185 as soon as possible. Refund is available only if cancellation is made 30 or more days prior to the retreat date.

Please verify that you are human*

2024-2025 FATHER / GUARDIAN / FATHER-FIGURE RETREAT