Office of Vocations
Diocese of Providence

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Middle School Retreat Registration

- Events
  - Quo Vadis 2019

Middle School Retreat Registration
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- Please complete and submit the form below and print, sign, and mail the Permission Slip/Indemnity Agreement to the Office of Vocations by Friday, May 4^th. Please be sure to read carefully the Permission Slip/Indemnity Agreement and list any pertinent medical needs or food allergies on the bottom of this form. The Permission Slip/Indemnity Agreement must be printed, signed and mailed to the Office of Vocations.
  
  If you have any questions please contact Fr. Murphy at: (401) 331-1316 or email FatherCJM@gmail.com.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Child's Parish REQUIRED Please fill out this field. Please enter valid data.
- Child's School REQUIRED Please fill out this field. Please enter valid data.
- Child's Age REQUIRED Please fill out this field. Please enter valid data.
- Parent/Legal Guardian Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Legal Guardian Home Phone REQUIRED Please fill out this field. Please enter valid data.
- Parent/Legal Guardian Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Parent/Legal Guardian Email REQUIRED Please fill out this field. Please enter valid data.
- Parent/Legal Guardian Name Please enter valid data.
- Parent/Legal Guardian Cell Phone Please enter valid data.
- Parent/Legal Guardian Email Please enter valid data.
- The " PARENT/LEGAL GUARDIAN PERMISSION SLIP AND INDEMNITY AGREEMENT" below must be printed and signed by the parent(s) of the child and mailed to:
  Rev. Chris Murphy
  Office of Vocations
  485 Mt. Pleasant Ave.
  Providence, RI 02908
  
  (If you have trouble printing this form, please email Fr. Chris Murphy at FatherCJM@gmail.com.)
  
  Click here for PARENT/LEGAL GUARDIAN PERMISSION SLIP AND INDEMNITY AGREEMENT
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