Please note: Some signatures are for the teens to sign and some of them are for the parents to sign. Please make sure to fill them out correctly.
I hereby authorize any adult chaperone to consent to any medical treatment of the named youth, which, in the judgment of recognized medical facility, under the general or special supervision of a licensed physician, may be deemed necessary.
I understand that my child will be staying overnight at a volunteer's host home. All volunteer swill be in compliance with Protecting God's Children.
Code of Conduct
First and foremost, you are Christian ladies and gentlemen; you are disciples of Jesus Christ, and you are representing your Parish
General Guidelines: • Always follow the instructions of your chaperones, high school teens, adult leaders, and youth minister. • Be sure to meet with your small group at the designated times and locations. Do not go anywhere by yourself or without telling one of the leaders. • Respect others in what you do and say. • Respect the facility by picking up after yourselves and only using the spaces and supplies provided. • Dress modestly. • No “purpling” which would imply no guy and girl physical contact of any kind. • Electronics only to be used during appropriate times, as designated by the youth minister or core team members.• Absolutely no illegal drugs, alcohol, weapons or tobacco products of any kind.
Sleep House Guidelines: • Respect the sleep house you are sleeping at and respect the parents and teens in charge in that home by going to sleep at the designated lights out time. • Be sure to say thank you and use basic manners while at the sleep home.
I have read and understood the expectations and guidelines for this event and will cooperate with these rules. I understand that failure to comply may result in immediate dismissal, with transportation home by my parents
I hereby authorize my son/daughter to attend Luke 18. I understand that Luke 18 participation requires a commitment to the full weekend experience and leaving for other activities is prohibited.
I understand that my son/daughter will be offered the opportunity to participate in various activities throughout the weekend. It is understood that all possible caution will be taken by those persons in charge to keep everyone safe and to prevent injuries, but neither chaperones, young adult leaders, teens, sleep house parishioners, employees, nor Assumption Parish will be held responsible in the case of an accident or injury.
I understand that if my teen behaves in a manner that is deemed inappropriate, is continually disruptive, or is found with illegal drugs or alcohol, I will be called immediately to pick up my child from the activity site.
By signing this form, I acknowlege that my registration is not complete until I turn in the payment and fill out the media authorization (if not on file at the school), and I commit to paying it to secure my spot. It is non-refundable.
(High school volunteers- $50. 8th grade participants- $75.)
Make checks payable to Assumption Youth Ministry. There are scholarships available if this is a problem. Please do not hesitate to ask.
If you need an adult to help administer the medicine during the retreat, please put the medicine in a ziploc bag and label it with your teen's name, to be turned in when you arrive on Friday evening.