ECHO Candidate Application

Please print out this form and complete it in full.

To Be filled in by candidate

Name   Phone  
(Nickname)     Male Female
email      
Address      
Town   Zipcode  
Parish   School  
Religion   Age
Grade
  
     
 
Sponsor Name   Phone  
Email      
       
If Catholic, please check those sacraments received
Baptism    Penance    Eucharist    Confirmation
Mother's Name   Phone  
Address      
Father's Name   Phone (if different)  
Address (If different)      
Weekend you are applying for:    

 

Please tell us a little about yourself. What activities, organizations, and/or sports teams are you involved with?

 

 

 

What do you think ECHO can do to help you grow spiritually?

 

 

Are you involved in your church?

 

 

Do you have any medical or dietary needs that we should be aware of?

 

 

In case of Emergency, please contact

Name:    
Relationship:    
Phone:    
     
Applicant's Signature  
Parent/Guardian Permission  
Priest/Authorized Representative  

Sponsor

A Sponsor is someone who has been on an Echo retreat. He/she will help you with information and assistance.

Do you have a sponsor?   


Do you need a sponsor?   
(If you do not have a sponsor, we are happy to provide one for you)

If you have someone to sponsor you, please have them complete the information below.

Sponsor's Name    
Phone    
Address  
City, State, Zipcode:  
Parish    
Echo#    
Sponsor Signature:    

PARENT, GUARDIAN OR SPONSOR

If you wish to offer any information that might be helpful to the Echo team, please use the space below:

 

 

 

 

Please complete in full and enclose a nonrefundable
deposit of $50.00.
Balance of $65 due at registration.

Mail completed application to:

ECHO Application
79 Puritan Rd
Buzzards Bay, MA 02532