Form - Faithful Servant Registration

Faithful Servant Registration

Faithful Servant Catholic Leadership Institute, Valle Crusis Conference Center, 146 Skiles Way Banner Elk, NC 28604, June 15-20, 2025, is open to High School age youth.

Parent/Chaperone (Last Name)*

Parent/Chaperone (First Name)*

Registration by*

Parish/Group Registration

Parent/Chaperone Registration

Email | Correo Electrónico*

Parish | Parroquia*

Participant Name | Nombre*

First Last

Gender | Género*

Male

Female

List special needs, dietary and otherwise | Enumere las necesidades especiales, dietéticas y de otro tipo

Waiver and Health Form*

I agree to download and bring the completed permission and health forms to the event.

I have read, understand and agree to the terms outlined in the electronic waiver.

Download Electronic Waiver

Payment

Cost - Faithful Servant

Price:

Pay by*

Credit Card

Check or Cash on Arrival

Credit Card

Card Details

Cardholder Name

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