WFC Adult Registration

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- Winter Faith Camp 2025
  Who: Current High School Students
  
  What: A 4-day retreat aimed towards spiritual growth, leadership, friendship, and fun with other High School students from about 13 churches all on fire about their faith and also striving to grow more.
  
  When: Friday, February 14th - Monday, February 17th, 2025
  
  Where: Trinity Woods Retreat Center, Trego, WI
  
  Person(s) in Charge: John Boyle, Billy Utecht
  
  Transportation: None or Bus
  
  Cost: Free for Adult Leaders
  
  Responsibilities of Adult Leaders:
  You would be assigned a small group to lead. This retreat is for High School students who already know and love Jesus and want to grow deeper in faith. Adults will be responsible for that small group during discussions, knowing their general whereabouts during free times, being an authority during misbehavior, making sure students in your small group are getting to bed and getting up at the listed times, and other similar responsibilities. During Winter Faith Camp, your first priority is to your small group and making sure they are being taken care of, and then assisting the youth minister(s) in what is needed to help the retreat run smoothly.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- T-Shirt Size REQUIRED S M L XL XXL 3XL Please fill out this field.
- RELEASE OF LIABILITY, INDEMNIFICATION AGREEMENT & MEDICAL RELEASE
- I, First and Last Name stated previously, agree on behalf of myself, my heirs, assigns, executors, and personal representatives, to hold harmless, and defend St. Vincent de Paul Catholic Church, the Archdiocese of Saint Paul and Minneapolis, its officers, directors, agents, employees and representatives (“Releasees”) associated with the Activity from any and all liability claims, injury, loss and damage arising from or in connection with my participation in the Activity.
  
  Further, I AGREE to hold Releasees harmless and indemnify Releasees for any claim or cause of action whatsoever, including but not limited to all claims relating to communicable disease, arising out of the above Activity which takes place during the above identified dates that is brought against Releasees by myself or my family members, heirs, assigns, executors, and
  personal representatives.
  
  I UNDERSTAND that participation in the described activity involves danger and risk of injury. The inherent danger is understood and voluntarily assumed.
- EMERGENCY MEDICAL TREATMENT: If I should require medical treatment and I am not able to communicate my desires to attending physicians or other medical personnel, I give permission for the necessary emergency treatment to be administered. Please advise the doctors that I have the following allergies and/or other health conditions:
- Health Conditions important to know in case of emergency: Please enter valid data.
- Emergency Contact First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relationship to me REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Health Insurance Carrier Please enter valid data.
- Insurance Policy Number Please enter valid data.
- Insurance Group Number Please enter valid data.
- I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS AN AUTHORIZATION FOR MEDICAL TREATMENT, INDEMNIFICATION AGREEMENT AND RELEASE OF ALL CLAIMS. I UNDERSTAND I ASSUME ALL RISK INHERENT IN THIS ACTIVITY. I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THESE PROVISIONS.
- Digital Signature REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
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WFC Adult Registration

Winter Faith Camp 2025

RELEASE OF LIABILITY, INDEMNIFICATION AGREEMENT & MEDICAL RELEASE