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COR Weekend

- Youth Ministry

High School Students in grade 10, 11 or 12

COR is a weekend retreat that will change your life! Get away from the busyness of life and discover who you are, who you are meant to be, and how much God loves you. Whether you're faith-filled or not sure about the idea of God, this weekend will have a lasting impact on your life.

COR is held each Spring and Fall at Holy Name of Jesus Church.

Due to the Covid-19 restrictions COR is postponed until further notice.

Register now by filling in the form below:
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Full Address REQUIRED Please fill out this field. Please enter valid data.
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Cell Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- The Best Way To Contact Me Is: REQUIRED Home Phone Cell Phone Email Please fill out this field.
- Gender REQUIRED Male Female Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Church REQUIRED Please fill out this field. Please enter valid data.
- Food Allergies or Special Medication Please enter valid data.
- I live with REQUIRED Both Parents Only Mom Only Dad Other Please fill out this field.
- IN CASE OF EMERGENCY
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
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- Mother's Address REQUIRED Please fill out this field. Please enter valid data.
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Work Phone REQUIRED Please fill out this field. Please enter valid data.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter valid data.
- Father's Address REQUIRED Please fill out this field. Please enter valid data.
- Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Work Phone REQUIRED Please fill out this field. Please enter valid data.
- Please note that this is an application only.
  You will be contacted by phone to confirm your spot on the weekend.
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