Kairos 44 Registration February 27 – March 1, 2020 Registration deadline is February 3, 2020 Name*Gender*How would you like your name to appear on your name tag?*Address* Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Home Phone*Student Cell Phone*Student E-mail* School*Grade*Age*Are you a member of St. Anne?*All religious affiliations are welcome.YesNoIf you belong to another parish or church community, which one?*Mother FatherMother's Name*Father's Name*Mother's Cell Phone*Father's Cell Phone*Mother's Email* Father's Email* Important: Please watch your email for retreat details as your child’s retreat date draws closer. Online Registration, Parent Permission Form, Teen Participant Agreement Form, and your payment of $350.00, must be received in order for your registration to be complete. Make checks payable to Saint Anne Youth Ministry All Forms are completed online and checks can be mailed to Saint Anne Youth Ministry 120 North Ela Street Barrington, IL 60010 All registration forms and payment must be received by February 3, 2020 Registration is on a first-come basis (complete registrations). If registration goes beyond capacity we will give priority to Saint Anne parishioners. No refunds can be made after February 6, 2020 NO EXCEPTIONS Questions? Please contact Michael Hugo at 847-620-3073 or at email@example.com Doreen Sobeski at 847-620-3072 or at firstname.lastname@example.org PhoneThis field is for validation purposes and should be left unchanged.