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Confirmation Retreat

- DIocesan Confirmation retreat February 17, 2024
  
  Please join us for the Diocesan Confirmation Retreat Saturday, February 17, 2024 at St. Philip Parish, 112 Capital Avenue NE, Battle Creek, MI 49017. The retreat will be held from 9:30am - 5:30pm with Mass being at 4:30 to conclude the retreat. The cost is $40 per person.
  
  When your chaperone and student roster is determined, please fill out the registration form online (below) with names of chaperones and youth attending. This must be done prior to February 1, 2024. In order to submit the form below, please note that the "I Agree" box has to be checked on all 8 chaperone boxes in order for it to be submitted, EVEN if you don't have that many chaperones. The form will not Submit otherwise, we appreciate your attention to this. This way chaperones can be verified by the diocese prior to having all the paperwork completed. If there are any changes after you complete the Online Registration, please contact Joan Jaconette at 269-349-8714 ext 1113 or by email at jjaconette@diokzoo.org.
  
  The forms listed here should be printed and completed by the appropriate people. Be sure and set a reasonable timeline for all paperwork to be returned to the Group Leader so that there is time for their review as well as to be sent in by February 1, 2024. All forms for a group should be submitted at the same time. Forms and payments can be mailed to the Diocese of Kalamazoo, 215 N Westnedge Avenue, Kalamzoo, MI 49007, ATTN: Confirmation Retreat. They can also be dropped off at the the office.
  
  Group Registration Packet - (includes all the forms below)
  Group Participant Form
  Chaperone Registration Form
  Student Registration Forms
  
  Please note, any youth whose forms are not complete will not be allowed to stay at the event. Parishes will be billed per participant based on the online registration forms submitted online by February 1st. No refunds will be allowed after the February 1st deadline. If you have more than 56 students attending, please contact Joan Jaconette, 269-349-8714 ext 1113.
- Contact Us
  
  Jamin Herold
  
  Executive Director Parish Life and Lay Leadership
  
  269-349-8714 x 1234
  jherolddiokzoo.org
  
  Joan Jaconette
  
  Support Specialist, Parish Life and Lay Leadership
registration
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Parish Information
  
  Choose your parish: REQUIRED Please fill out this field.
  
  Group Leader
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  I understand that I am in charge of the conduct and action of the students, that I register, while on this activitiy. I have recruited and communicated expectations to qualified chaperones who will be at the activitiy with the students. These chaperones will take responsibility for the welfare of the students while engaged in this activity, they will monitor the students, actively care for the students, and minister to the students during the activity. I understand I need two chaperones for the first 8 students, and one additional chaperone for each additional group of 8 (or patrtial group of 8). I understand that the volunteers and employees of the Diocese of Kalamazoo are not responsible to care for the students under my charge. I also understand my parish will be billed for the number of registered individuals signed up online.
  I Agree Please select this field.
  
  2 Chaperones for the first 8 students REQUIRED Please fill out this field.
  
  Chaperone 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of State Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date of National Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Chaperone 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of State Background Check REQUIRED Please fill out this field. Please enter a date.
  
  Date of National Background Check REQUIRED Please fill out this field. Please enter a date.
  
  # of Students (first group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  3rd Chaperone (for students 9-16)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of National Background Check Please enter a date.
  
  Date of State Background Check Please enter a date.
  
  # of Students (second group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  4th Chaperone (for students 17-24)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of National Background Check Please enter a date.
  
  Date of State Background Check Please enter a date.
  
  # of Students (third group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  5th Chaperone (for students 25-32)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of National Background Check Please enter a date.
  
  Date of State Background Check Please enter a date.
  
  # of Students (fourth group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  6th Chaperone (for students 33-40)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of National Background Check Please enter a date.
  
  Date of State Background Check Please enter a date.
  
  # of Students (fifth group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  7th Chaperone (for students 41-48)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of National Background Check Please enter a date.
  
  Date of State Background Check Please enter a date.
  
  # of Students (sixth group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  8th Chaperone (for students 49-56)
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  This Chaperone is Virtus trained and their background check and bulletins are up to date.
  
  I Agree Please select this field.
  
  Date of National Background Check Please enter a date.
  
  Date of State Background Check Please enter a date.
  
  # of Students (seventh group of 8) REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Submit
  
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Confirmation Retreat

DIocesan Confirmation retreat February 17, 2024

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