Mountain Madness Registration - St. John the Baptist

Email*

Secondary email

Family last name*

Youth Info

Child #1 Name (First and Last)*

Child #1 Grade*

6th
7th
8th

Child # 1 T-Shirt Size*

Requested Roommate for Child #1

Child #2 Name (First and Last)

Child #2 Grade

6th
7th
8th

Child # 2 T-Shirt Size

Requested Roommate for Child #2

Parent Info

Mother's name (First and Last)*

Mother's Cell Phone*

Father's name (First and Last)*

Father's Cell Phone*

Would you be willing to volunteer as a chaperone? (Most of the time we have enough young adult volunteers who help with youth group, but in case we do not, you will be contacted) This is not a garunteed spot as a chaperone.*

Yes
No

Are you willing to help us drive up leaving St. John the Baptist Parish at 3PM on Friday, February 13th and picking us up on Sunday, February 15th?*

Yes
No

Are there any severe allergies? Food allergies? Difficulties being away? Medical conditions...etc? Even hesitancy with the faith? Difficulties at home? Anything you think we should know.

Payment

Mountain Madness 2026 Fee *

How many kids did you register for this event?

Price: $260.00

Mountain Madness Scholarship Donations

If you are willing, please consider donating an additional amount to sponsor part of a scholarship for someone unable to afford this opportunity by checking one of the boxes below.

Other Amount

Total

$0.00

Credit Card

Card Details

Cardholder Name