HUNGER STRIKE REGISTRATION

9:00 AM Saturday, April 5, 2025 thru 1:00 PM Sunday, April 6, 2025 | Join us for a pan-Orthodox Lenten Youth Retreat at
St. Paul's Greek Orthodox Church
4949 Alton Parkway
Irvine, CA 92604
949-733-2366

Parent Name

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Student Name

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Grade Level

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6th 7th 8th 9th 10th 11th 12th

Tee Shirt Size

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Small Medium Large X-Large XX-Large

Patron Saint

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2nd Student Name

Grade Level

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6th 7th 8th 9th 10th 11th 12th

Tee Shirt Size

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Small Medium Large X-Large XX-Large

Patron Saint

3rd Student Name

Grade Level

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6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Tee Shirt Size

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Small Medium Large X-Large XX-Large

Email

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Patron Saint

Phone

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What Church do you attend?

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Will you be staying the night?

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Notes:

$30.00 per person

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

9:00 AM Saturday, April 5, 2025 thru 1:00 PM Sunday, April 6, 2025

Join us for a pan-Orthodox Lenten Youth Retreat at
St. Paul's Greek Orthodox Church
4949 Alton Parkway
Irvine, CA 92604
949-733-2366

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