Saint James 2021 Antioch Retreat Registration

All high school Sophomores, Juniors and Seniors are invited to our Antioch retreat at St. James Church. Our theme is Out of the Woods! So escape the craziness of everyday life, make new friends and dive deeper into your faith with us!

When: Saturday, May 15th 4:00pm – 9:00pm (dinner included)
Sunday, May 16th 9:00 – 11:30am
Location: St. James Campus
Cost: $20

Please contact StJames@boldym.com with any questions!

Payment Option:

Participant Information

*First Name

*Last Name

*Address

Apartment If Applicable

*City

*State

*Zip Code

*Email

*Home Phone (XXX-XXX-XXXX)

Cell Phone (XXX-XXX-XXXX)

*Grade

Paren Information

First Name

Last Name

Home Phone (XXX-XXX-XXXX)

Cell Phone (XXX-XXX-XXXX)

By submitting this form I consent to photographs, video or other media where I am [my son/daughter is] portrayed to be used in connection with this event or for promotional purposes by the Event Sponsors (Fiat Ventures LLC d/b/a Fiat Ministries, Catholic Ministry Partners, Inc. d/b/a Fiat Ventures or BOLD Youth Ministry, and the parish of St. James), including by internet or print publication, although I [my son/daughter] shall not be identified in any publication without prior approval.

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info@fiatventures.com
973.500.3300
P.O Box 4292, Warren, NJ, 07059

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