Encounter Application
First Name:
Last Name:
Parent(s) Name:
Street Address:
City:
State:
Zip Code:
Phone:
E-mail:
Religious Tradition: (Catholic, Protestant, Jewish, etc.)
Please indicate if your parents do not live together:
Below, write a short paragraph on the back of this application explaining why you want to go on the Encounter retreat and what you hope to get out of it. The cost of the Encounter weekend is $150.00. Whether submitting a hardcopy registration or a e-mail registration, a $50.00 application fee is due. The remaining $100.00 is due before or on the day of departure. Make checks payable to Salesianum School. (If you are unable to pay the entire cost, please see Fr. Kolodziej.)
Due Date is November 24th
