2026 GOYA Winter Retreat

Parent's Information

Name (Parent)

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Email (Parent)

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Phone (Parent)

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GOYAN Information

Enter the Name (First and Last) Of Each Participant

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Enter the Age of Each Participant

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Grade

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Parish Name

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Any Allergies or Medications?

Second Child (Optional)

Name

Age

Grade

Allergies or Medications

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Third Child (Optional)

Name

Age

Grade

Allergies or Medications

Registration Payment

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Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

January 16-18 | Camp Wamatochick, Prescott, AZ

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