2026-2027 CORAZON DATE REQUEST FORM

1-Day Retreat

Location: San Damiano Retreat Center, 710 Highland Dr, Danville, CA 94526

Deadline: Friday, April 24, 2026

IMPORTANT INFORMATION:

With this form, you are submiting your request for the retreat date you prefer. This is not a confirmation of registration. All form submissions are automatically time stamped.

Use your Carondelet school email address.

Please consider any sports/extra-curricular activities you are/may be a part of during the 2026-2027 school year when choosing your retreat preference. Also think about and discuss academic course load and personal commitments before filling out this form. Carondelet enters into contracts with retreat facilities and must pay for all students who register, even if they do not attend. Therefore, even though retreats are covered in tuition and there is no fee to register and attend, there is a Late Cancellation Fee of $200 for those who cancel within a month of the retreat without medical documentation. Please plan ahead!

Retreat dates are assigned on a first-come, first-served basis. Campus Ministry will do its best to satisfy each student’s needs and preferences. Please turn in this form as soon as possible for the best chance of securing a place on the retreat of your choice. Unfortunately, there is no guarantee you will receive your first, second or third choice.

By filling out this form, you are indicating your preference for Shalom dates, not actually registering. On May 18, 2026, assigned retreat dates will be emailed to students and parents/guardians using the email addresses you enter below.

For more details about retreat policies and registration procedures, please click here.

If you have any questions about the date request and registration process, please contact the Main Office staff.

Carondelet Student ID #*

Student First Name*

Student Last Name*

Student Carondelet Email*

Student's Date of Birth*

Date

Please select your TOP choice*

Corazón 1 - Monday, Nov. 2, 2026Corazón 2- Tuesday, Nov. 3, 2026Corazón 3 - Thursday, Mar. 4, 2027Corazón 4 - Friday, Mar. 5, 2027

Please select your SECOND choice*

Corazón 1 - Monday, Nov. 2, 2026Corazón 2- Tuesday, Nov. 3, 2026Corazón 3 - Thursday, Mar. 4, 2027Corazón 4 - Friday, Mar. 5, 2027

Please select your THIRD choice*

Corazón 1 - Monday, Nov. 2, 2026Corazón 2- Tuesday, Nov. 3, 2026Corazón 3 - Thursday, Mar. 4, 2027Corazón 4 - Friday, Mar. 5, 2027

Parent/Guardian 1 First Name*

Parent/Guardian 1 Last Name*

Parent/Guardian 1 Phone Number*

Area CodePhone Number

Parent/Guardian 1 Phone Number - Alternate

Area CodePhone Number

Parent/Guardian 1 Email*

Confirmation Email

Street Address Line 1*

Street Address Line 2

City*

Zip Code*

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Phone Number

Area CodePhone Number

Parent/Guardian 2 Phone Number - Alternate

Area CodePhone Number

Parent/Guardian 2 Email

Confirmation Email

Parent/Guardian Signature - Date REQUEST Acknowledgement

I understand that by signing and submitting this form, my student is requesting the retreat dates selected above. While Campus Ministry will make every effort to accommodate my preferred dates, I acknowledge that placement in the top choice is NOT guaranteed.

Signature*

Name of Parent Signee*

First NameLast Name

Student Signature - Date REQUEST Acknowledgement

I understand that by signing and submitting this form, I am requesting the retreat dates selected above for myself. While Campus Ministry will make every effort to accommodate my preferred dates, I acknowledge that placement in the top choice is NOT guaranteed.

Signature*

Name

First NameLast Name

This student has been assigned to:*

Corazón 1 - Monday, Nov. 2, 2026Corazón 2- Tuesday, Nov. 3, 2026Corazón 3 - Thursday, Mar. 4, 2027Corazón 4 - Friday, Mar. 5, 2027

You cannot submit this form without a "@carondeleths.org" email. Please check the "Student Carondelet Email" entry above.

Assigned to*

Corazón 1 - Monday, Nov. 2, 2026Corazón 2- Tuesday, Nov. 3, 2026Corazón 3 - Thursday, Mar. 4, 2027Corazón 4 - Friday, Mar. 5, 2027

2026-2027 CORAZÓN DATE REQUEST FORM

Parent/Guardian 1

Parent/Guardian 2