Challenge Weekend Application

So, you want to apply for a Challenge Weekend? Before you do, it's recommended that you read About Us if you're not familiar with Challenge. If you still want to apply, there are a few things you should know:

The 153rd Challenge Weekend will take place March 26-28th, 2010. The Weekend begins on Friday evening at 7:00pm and ends around 5:00pm on Sunday.
The location of the retreat is Immaculata High School.
Applicants must be 16+ years old.
Only those who are able to stay the entire weekend will be accepted.
There is a limit of 30 candidates for a Weekend. If the Weekend is full when your application is received, your name will be put on a waiting list.
When your application is received, you will be contacted to confirm your place on the Weekend.
The cost of the Weekend is $35.00. This cost includes all expenses (meals, accommodations, supplies, etc.) For those in real financial need, assistance can be arranged.

If you agree and understand the above, please fill out the following application.

Note: This is not a secure server. Your completed form could be intercepted by others while being transmitted. If you are uncomfortable with submitting any information here please contact Pre-Challenge for further assistance.

Sponsorship: A sponsor must have completed a Challenge or Cursillo Weekend and is responsible for ensuring that the candidate has transportation to and from the weekend.

If you are signing up for the first time and do not have a sponsor, you may leave the field blank. Although you MUST have a sponsor, there is a chance you can be connected with one before the weekend. If you leave the field blank Prechallenge will contact you to attempt to sort out the issue.

Application

Full name:

E-Mail Address:

City/Town:

Birthdate:

Phone number:

School:

Parish:

Name and phone number of an emergency contact:

Relation to emergency contact:

Name and phone number of your Sponsor:

Relation to Sponsor:

Phone number of a Parent or Guardian:

Allergies / Special Diet / Special Needs / Health Concerns / Undergoing Medical or Psychological Treatment:

Names of anyone you may know on the Challenge Weekend:

I declare that the information provided above is correct and consent to the use and publication by the Challenge Movement of my name and any pictures of me taken with my knowledge during the course of the Weekend. Please acknowledge your agreement by checking the box below:

I agree.