Winter Faith Camp 2024

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 16th - Monday, February 19th

Where: Camp Courage, Maple Lake, MN

Person(s) in Charge: John Boyle, Caitlin Giles and Adult Leaders from St. Vincent de Paul

Transportation: Meet at Camp Courage (40min from SVDP)

Cost: $210

No registrations taken after January 31st, 2024.

PARTICIPANT INFORMATION:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

T-Shirt Size REQUIRED Small Medium Large XL XXL XXXL Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Sex REQUIRED Male Female Please fill out this field.

Current Grade (2023-24) REQUIRED 9 10 11 12 Please fill out this field.

PARENT/GUARDIAN INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Home 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.

Email REQUIRED Please fill out this field. Please enter an email address.

Best Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Text Messages OK? REQUIRED Yes No Please fill out this field.

I, (Parent/Guardian Name stated above), grant permission for (Participant Name stated above) to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the St. Vincent de Paul Catholic Church, all Churches participating, and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against St. Vincent de Paul Catholic Church, all Churches participating, and the Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by St. Vincent de Paul Catholic Church, all Churches participating, and the Archdiocese in defense of such a claim/suit. Should photos or video be taken, I give my permission for the use of my child’s image and /or likeness in any promotional or other marketing activities relating to the youth ministry programs of St. Vincent de Paul Catholic Church and all Churches participating.

I Agree Please select this field.

CAMP ACTIVITIES: Unless indicated, I give permission for my child to participate in the list of activities mentioned here: sledding, tubing, broomball, snow sports, climbing walls, crate stacking, etc.

Indicate here activities not to participate in, if any: Please enter valid data.

OPTIONAL MEDICAL INFORMATION

Medication my teen is taking at present: Please enter valid data.

Family Health Plan provider Please enter valid data.

Family Health Plan carrier number Please enter valid data.

Family Doctor and Phone Number Please enter valid data.

MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my teen is in good health, and I assume all responsibility for the health of my teen. (Of the following statements pertaining to medical matters, agree to only those that are applicable.)
Medical Treatment: In the event it comes to the attention of St. Vincent de Paul Catholic Church or any of the other Churches participating,, its officers, directors and agents, and the Archdiocese of Saint Paul & Minneapolis, chaperons, or representatives associated with the activity that my teen becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea I want to be called and discuss treatment and also if they need to leave camp.

I Agree

Medications: My teen is taking medication at present. My teen will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for seeing that the teen takes such medications, including dosage and frequency of dosage, are indicated on attached Prescription Drug & Medical Authorization Form. (Which can be found on the Parish Website)

I Agree

I hereby grant permission for non-prescription medication (such as non-aspirin products, i.e. acetaminophen or ibuprofen, throat lozenges, cough syrup) to be given to my teen, if deemed appropriate.

I Agree

Specific Medical Information: St. Vincent de Paul Catholic Church and all Churches participating, will take reasonable care to see that the following information will be held in confidence.

Allergic reactions (medications, foods, plants, insects, etc.): Please enter valid data.

Immunizations-Date of last tetanus/diphtheria immunization: Please enter valid data.

Does teen have a medically prescribed diet? Please enter valid data.

Any physical limitations? Please enter valid data.

Has teen recently been exposed to contagious disease or conditions, such as mumps, measles, chickenpox, etc.? If so, date and disease or condition: Please enter valid data.

Any special medical conditions? Please enter valid data.

Payment

Cost: $210 (If you need scholarship or if you would like to do a payment plan, please enter the amount you are willing to pay now if you can and then contact John Boyle)

$ Please enter a positive decimal.

WFC Registration

Winter Faith Camp 2024