De La Salle Kairos 141 Registration (Sept. 30 - Oct. 2)

Required

Kairos 141 - September 30 - October 2, 2022


Vallombrosa Retreat Center • Menlo Park, Calif.

The cost for Kairos is $180 • Financial Aid is available upon request 


 

Student's Namerequired
First Name
Last Name
Please let us know what name you prefer to use.
Please enter n/a if not applicable​​
Please enter n/a if not applicable​​​​​
xxx-xxx-xxxx​​​​​
Does the student have a second parent/guardian?required
Please enter n/a if not applicable​​​
Please enter n/a if not applicable​​​
xxx-xxx-xxxx​​​​​
Student Resides WithrequiredPlease indicate if student resides with both parents, mother, or father​
Please indicate if student resides with both parents, mother, or father​
Do you need Kairos materials translated to a different language than English?required
Nutritional Preferencerequired
If none, please type n/a​
Kairos Registration and Feesrequired

If requesting Financial Aid for Kairos, Ms. Ghammache will confirm your need. She will respond with your financial aid status and overall cost if any.

Fees are non-refundable if cancellation is made 30 or less days before the retreat date. 
Campus Ministry Staff Only To Fill Out

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired