Life Teen Summer Camp at Covecrest Registration Life Teen Summer Camp at Covecrest Registration "*" indicates required fields Student Name* First Last Gender* Female Male Home Address* Street Address City State ZIP Code Student Grade Level*9th10th11th12thName of Current School*Saint Jude the Apostle SchoolAtlanta AcademyCampbell Middle SchoolChamblee Middle SchoolDickerson Middle SchoolHoly InnocentsMaristMt. VernonPeachtree Middle SchoolRidgeview Middle SchoolSandy Springs Middle SchoolSaint FrancisOtherIf "other" please list school*Parent Name* First Last Parent Phone*Parent Email* Media ConsentWhile at camp, there will be photos taken and your student may be in them. Do we have your permission to use the photos from the retreat to post on our Social Media accounts (Facebook, Instagram, or Twitter) and to potentially have them in our parish bulletin or website? Names are not displayed with photos that are used in our parish media. I agree to the media policy.Choose one: Pay remaining balance (for participants who already paid the deposit) Pay in full Life Teen Summer Camp Registration Fee (Remaining Balance) Price: Life Teen Summer Camp Registration Fee (Pay In Full) Price: Total Credit Card*Card Details Cardholder Name Δ