Sign-Up Form May 23 – June 2, 2026 Sign-Up Catholic High of Pointe Coupee Name(Required)E-mail address(Required)Phone Number(Required)Gender(Required)Current Age(Required)Age during the pilgrimage(Required)Date of Birth (MM/DD/YYYY)(Required)What grade are you in during the 2025-2026 school year?(Required)Street Address(Required)City(Required)State(Required)Zipcode(Required)Country(Required)Country of Passport(Required)Tell us about yourself in a couple of sentences(Required)Do you want to bike or raft on day 7? Bike Raft I'm fine with either Parents and Chaperones Only: Do you want a single-room supplement ($650)? No Yes Please write the name of the person you would like to room with (your child or another chaperone). If left blank, we will pair you with another chaperone.Comments (if any)
