Form - Talitha Koum Registration - Diocese of Charlotte

Talitha Koum Registration

Important Information

Online registration for Talitha Koum is open until June 9, 2025.

Applicants between the ages of 12 and 15 will be accepted on a first-come, first-serve basis. Once our spaces are filled, we will create a wait-list in case any vacancies arise.

After you submit your registration, you will receive an email receipt. This email receipt does not mean that your attendance is confirmed.

You will then receive a second email stating one of the following:

That your attendance is confirmed and you may plan on attending Talitha Koum 2025; or
That your registration has been placed on a temporary “wait-list,” and you will need to await a third email stating whether you can attend; or
Space is not available this year.

If your registration is placed on the temporary “wait-list,” an email will be sent to you by June 9 at the latest to inform you if space becomes available.

Registration Fee:

Once accepted to the retreat, a link to the online credit card payment option will be sent to you by email. In addition, check and money orders are acceptable payment options (please see registration packet for more information).

If you have any questions regarding registration or the camp, please contact Sr. Mary Jacinta at [email protected] or 704-370-3248.

Parent/Guardian Information

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardian Email*

Confirm Parent/Guardian Email*

Applicant Information

Applicant Name*

First Last

Applicant Preferred Name

Applicant Phone*

Applicant Email*

Confirm Applicant Email*

Age*

Please enter a number from 12 to 15.

Date of Birth*

T-shirt size*

All t-shirt sizes are adult.

Address*

Street Address Address Line 2 City State ZIP Code

School*

Grade*

Parish*

Permission & Medical Forms

A Permission & Medical Form must be completed for each applicant.
Please use the button below to download a copy. Each participant is responsible for bringing their permission forms and submitting them the day of the camp.

Download Forms

Please check this box to acknowledge that you have downloaded the forms.*

Yes, I have downloaded all of the appropriate forms.

Registration fee will be due upon arrival at the camp.

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