Antioch Weekend - The Cathedral of the Most Sacred Heart of Jesus

Antioch Weekend Registration Form

Antioch Weekend will run from November 12-14, 2021

Antioch Weekend is a dynamic weekend full of sharing, discussions, music, food, fun, and more for High School Students! The weekend is given entirely by experienced young adults with the help of a few adult spiritual directors. This faith experience is a great way for one to prepare for the sacrament of Confirmation or strengthen the commitment you have previously made. Antioch Weekend is held here at the Cathedral of the Most Sacred Heart of Jesus the entire time, and you will be glad you came! For more information, contact Rick @[email protected]. The cost is $40. Checks made out to the Cathedral of the Most Sacred Heart of Jesus. Payment can be made at the time of the event or by stopping into the Parish Office.
Student Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Grade*
School Attending*
Student Cell Phone*
Student Email*
Birthdate*
MM slash DD slash YYYY
Parent Name (s)*
First Last
Primary Phone*
Email*
Mother's Cell Phone*
Father's Cell Phone*
Emergency Contact Name*
Emergency Contact Phone*
Please list any special needs and/or allergies that would assist us in planning for your student's participation.
Parents - would you like to: (please check all that apply)
- Provide snacks
- Chaperone
- Provide prayer support
May the Sacred Heart Youth Ministry team contact your child directly via phone, text or email?*
- Yes
- No
Photo Release: I give permission for Sacred Heart Cathedral to take photos or video of my child during XLT and XLT-related activities to use in SHC sponsored media (i.e. bulletin, videos, newsletters, parish Facebook, SHC website, etc.).*
- Yes
- No