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ECHO | Teen Registration Form
We are glad that you're here! Space is limited for ECHO at Maryhill. Your acceptance depends on a number of factors such as COVID-19 restrictions and male/female ratio. We will notify you of your status via email upon review of your registration!
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    If you are a parent filling this out for your child, please be sure you are putting in your child's info below.
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    • Male
    • Female
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    -
    Pick a Date
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    To qualify for this retreat, teens must be juniors, seniors, or recent graduates as of Fall 2022.
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    Please select the grade you are going into Fall 2022. If you graduated high school in Fall 2022, select 'Recent Graduate.'
    • Junior
    • Senior
    • Recent Graduate
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    If you are a parent filling this out for your child, please be sure you are putting in your child's info below.
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    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
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    • American Samoa
    • Andorra
    • Angola
    • Anguilla
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    • Argentina
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    • Austria
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    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
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    • Philippines
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    • Rwanda
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    • Adult Small
    • Adult Medium
    • Adult Large
    • Adult XL
    • Adult XXL
    • Adult XXXL
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    Please include contact information below for at least one parent or guardian.
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    In the event of an emergency, we want to be able to get you/your child the medical services you need. Please carefully fill out the information below.
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    In case of an emergency, who should we contact?
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    Please list below any medicines the participant is allergic to, as well as any environmental allergies we should be aware of.
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    We do our best to provide great food options for those with dietary restrictions. However, our cooks are not always able to accommodate every situation. If this situation arises, we will contact the participant regarding dining options.
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    NOTE REGARDING PRESCRIPTION AND OVER-THE-COUNTER MEDICATIONS:

    We have a licensed nurse as part of the ECHO staff. Upon arrival, please give any prescription medication to the camp nurse located at the registration area with specific dosage instructions for your child. We ask that medications be delivered in this manner to keep your child and other children safe. These medications will be returned to your child at the end of camp.

    We keep basic over-the-counter medications in stock at ECHO, including Advil, Tylenol, Benedryl, Zyrtec, Allegra, Claritan, Pepto-Bismol, cold and flu medications, and all first-aid supplies. Participants will be instructed to see the camp nurse if any of these are needed during camp.

    A detailed log of all medication given will be kept by the camp nurse for the safety of all participants.

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    Please list below any prescription or over-the-counter mediations your child will bring with them to ECHO.
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    *IF THE PARTICIPANT IS 18 YEARS OR OLDER, PLEASE HAVE HIM/HER READ AND AGREE TO THESE TERMS AND CONDITIONS FOR THEMSELVES. *IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT/GUARDIAN MUST AGREE ON THEIR BEHALF. I hereby authorize Dumb Ox Ministries to carry out the wishes I have named (herein) in areas of emergency medical treatment and other cases of illness for myself/ or my child. This authorization inclusively extends from July 25-28, 2022. I hereby warrant, to the best of my knowledge, I/my child are in good health, and I assume all responsibility for myself/my child. In the event of an emergency, I hereby give permission to transport myself/my child to a hospital for emergency medical or surgical treatment. I ask you to advise the person(s) listed as the emergency contact to any further treatment by the hospital or doctor. I assume full financial responsibility for any medical treatment expenses I may incur. I agree to either pay for services upfront, or if Dumb Ox Ministries pays, I agree to be billed and reimburse their expense.
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    • Yes
    • No
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    ECHO is an immersive experience into the depths of our identity as men and women through the lens of St. John Paul II's Theology of the Body. We explore themes of sexuality, vocation, prayer, and relationships. We want to make sure you want to dive in! 
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    We are able to offer shuttles to and from Alexandria International Airport (AEX). Please let us know how you will be traveling to ECHO below, and we will be in contact with you regarding shuttle options if needed.
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    Maryhill Renewal Center offers double occupancy rooms with private bathrooms for teens. If you have a friend you'd prefer to room with, please list their names below. We cannot guarantee we can give you your selection, but we will do our best.
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    A QUICK NOTE ABOUT YOUNG ADULTS SERVING AT ECHO:

    At ECHO, you/your child will have a group of awesome young adults to journey alongside you during your experience. They've spent the previous weekend receiving the retreat themselves and will be eager to share with the teens what they've received.

    MENTOR TEAM
    The mentor team will journey alongside teens by leading our version of small groups, called "family groups." They will work together as they help teens unpack and process what they are receiving during sessions and throughout their experience of the retreat.

    PRAYER TEAM
    The prayer team is the backbone of the retreat. They will spend time meeting together while praying and interceding for the teens throughout their experience of ECHO.

    HOSPITALITY TEAM
    The hospitality team's main task is to create and maintain spaces during ECHO to help teens encounter Christ and have an amazing ECHO experience.

    Per standard diocesan regulations, all young adults who are attending ECHO and serving teens provide proof that they are Safe Environment trained, have cleared a background check, and are in good standing with the Catholic Church. 

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    *IF THE PARTICIPANT IS 18 YEARS OR OLDER, PLEASE HAVE HIM/HER READ AND AGREE TO THESE TERMS FOR HIMSELF/HERSELF. *IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT/GUARDIAN MUST AGREE TO THESE TERMS ON THEIR BEHALF. As parent and/or legal guardian, or myself if 18 years or older, I remain legally responsible for any personal actions taken by myself or the above-named minor ("participant"). I agree on behalf of myself/my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Dumb Ox Ministries, the Diocese of Alexandria, Maryhill Renewal Center, their officers, directors, agents and staff, chaperones, or representatives associated with the event, arising from or in connection with myself/my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate Dumb Ox Ministries, the Diocese of Alexandria, Maryhill Renewal Center, their officers, directors, staff, agents, chaperones, or representatives associated with the activity for reasonable attorney' fees and expenses arising in connection therewith.
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    A NOTE ABOUT OUR COVID-19 PRECAUTIONS:

     In order to do our best to protect against the spread of COVID-19, below is our current policy in order to prevent the spread of COVID-19. These precautions are subject to change based off of state and CDC recommendations at the time of the retreat.

    Temperature Checks: We will have a mandatory temperature check upon arrival to Maryhill Renewal Center prior to checking in. If a fever is detected, we will not be able to allow you to attend. Additionally, we will have a daily temperature check each morning of the retreat.   

    Face Mask Policy: Face masks will be optional for those who wish to wear them.

    Regular Cleaning and Disinfecting: All common areas will be regularly cleaned and disinfected before and after use. Hand sanitizer will be available in common areas.

    PLEASE NOTE: While we will do our best to minimize the risk of the spread of COVID-19, there is no such thing as no risk. It is up to you to discern your decision to attend. ECHO is a retreat rooted in authentic relationships with God and with the community. We are on the journey alongside you as we discover how we can bring together the reality of “social distance” with real connection. We strive to do everything we can to preserve these opportunities for authentic community, while at the same time keeping everyone safe. However, there is never no risk involved. As we say often, love looks forward! We will rely on everyone’s help to love one another well by abiding by the precautions, while at the same time encouraging everyone to take advantage of all the opportunities to grow in friendship and community. 

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    *IF THE PARTICIPANT IS 18 YEARS OR OLDER, PLEASE HAVE HIM/HER READ AND AGREE TO THESE TERMS FOR HIMSELF/HERSELF. *IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT/GUARDIAN MUST AGREE TO THESE TERMS ON THEIR BEHALF. In the unprecedented times of COVID-19, Dumb Ox Ministries recognizes the additional potential risks posed by the virus and its high infection rate. As our summer activities are likely to occur during the pandemic, our program participants are required to read the protocols that follow and follow all protocols throughout their time to promote their safety and the safety of the other program participants, hosts, Dumb Ox staff, and those with whom they will interact at Dumb Ox events. (1) I agree to follow all COVID-19 mandates specific to Louisiana as laid out by the office of the governor. Dumb Ox Ministries may also add additional safety protocols to these lists as it sees fit.​ (2) I agree to follow all safety protocols for the duration of the event, at all times and in all places, including but not limited to, the properties of Maryhill Renewal Center.​ (3) I agree to hold Dumb Ox Ministries, its staff, its board of directors, its volunteers (including any hosts or host families), its program participants, and its insurers harmless from and against any and all liability, claims, demands, lawsuits, and expenses arising from personal injury, sickness, death, or property damage, including any costs related to medical treatment or injuries resulting from a COVID-19 infection. (4) I am aware that COVID-19 is highly contagious and I agree to assist Dumb Ox in taking these precautions for my safety and that of others.
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    *IF THE PARTICIPANT IS 18 YEARS OR OLDER, PLEASE HAVE HIM/HER READ AND AGREE TO THESE TERMS FOR HIMSELF/HERSELF. *IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT/GUARDIAN MUST AGREE TO THESE TERMS ON THEIR BEHALF. In consideration of the taking and use of the photographs or video footage of the named below, for good and valuable consideration herein acknowledged as received, I hereby grant to Dumb Ox Ministries the irrevocable and unrestricted right and permission to take, use, re-use, publish photographic pictures of me/my child or those of which I or they may be included, made through any medium and in any and all media now or hereafter known for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever. I also consent to the use of any published matter in conjunction therewith.  I hereby waive any right that I may have to inspect or approve the finished product or products and the advertising copy or another matter that may be used in connection therewith or the use to which it may be applied.  In exchange for the benefits derived by my participation, I hereby agree that I, my child, or any heirs, distributes, guardians, legal representatives, and assigns to do release and will indemnify, hold harmless the photographer or videographer, Dumb Ox Ministries for claims for libel or violation of any right of publicity or privacy or privacy arising out of or in connection with my participation in the photography or videography project, from whatever cause, including the active or passive negligence of the photographer, videographer, or Dumb Ox Ministries. 
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    *IF THE PARTICIPANT IS 18 YEARS OR OLDER, PLEASE HAVE HIM/HER READ AND AGREE TO THESE TERMS FOR HIMSELF/HERSELF. *IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT/GUARDIAN MUST AGREE TO THESE TERMS ON THEIR BEHALF. VIOLATIONS OF ANY OF THE REGULATIONS LISTED BELOW MAY RESULT IN YOUR IMMEDIATE RETURN HOME AT YOUR EXPENSE:  1. All camp directors, chaperones or counselors are to be respected at all times; instructions are to be followed. 2. Alcoholic beverages, tobacco, illegal drugs, and weapons or dangerous items of any sort are positively forbidden. 3. Room/cabin assignments may not be changed once assigned. 4. Members of the opposite sex may not visit each other’s rooms/cabins at any time. 5. Inappropriate public or private displays of affection are not allowed at any time during the camp. 6. Anyone damaging property will be held responsible for the cost of damages. Dumb Ox Ministries, the Diocese of Alexandria, and Maryhill Renewal Center are not responsible for damage expenses that an individual incurs. Theft of property is forbidden. 7. You must be on-time for all scheduled activities. Failure to follow this rule may result in loss of privileges at this camp. 8. Obscene or abusive language, and inappropriate comments will not be tolerated. 9. Modesty in dress and behavior is required. 10. Participants must act as positive role models at all times during the camp and respect the property and residents of Maryhill Renewal Center. 11. Participants must participate in all scheduled activities.  12. CAMPERS ARE RESPONSIBLE FOR VALUABLES. Please do not bring valuables such as jewelry, expensive electronics, etc. Dumb Ox Ministries, the Diocese of Alexandria, and Maryhill Renewal Center are not responsible for loss, damage, or theft that may result to such items.
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    *IF THE PARTICIPANT IS 18 YEARS OR OLDER, PLEASE HAVE HIM/HER READ AND AGREE TO THESE TERMS FOR HIMSELF/HERSELF. *IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT/GUARDIAN MUST AGREE TO THESE TERMS ON THEIR BEHALF. 1. There is a non-refundable deposit of $100 required to secure your spot at ECHO. In the event of cancellation for any reason except for confirmed COVID-19 exposure, this amount cannot be refunded.  2.  If cancellation occurs on or before Monday, July 11, 2022 (10 business days prior to the retreat), you will be refunded any monies paid over $100. 3. If cancellation occurs after Monday, July 11, 2022, except for cancellation due to confirmed COVID-19 exposure, we are unable to reimburse any ECHO registration fees and you are still responsible for the full registration balance. 
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    ECHO REGISTRATION FEES:

    ECHO CAMP COST:
    Early Bird Registration (On or before March 13th):
    $399.00

    After March 13th:
    ​$449.00

    *We require at least a $100 deposit to secure your spot at ECHO.

    *Registration cost covers all food, lodging, and retreat supplies. You are only responsible for your transportation to and from camp.

    *We do offer customizable payment plans, fundraising tools, and limited scholarships to those in need. Email us at echo@dumboxministries.com to inquire. 

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    We are able to accept online payments via credit and debit cards as well as mail-in checks. A $100 deposit is required to secure your spot at ECHO.
    • I will pay my $100 deposit via mail-in check, and remaining balance by July 8th.
    • I will pay my $100 deposit online via debit or credit card, and remaining balance by July 8th.
    • I will pay in full via mail-in check.
    • I will pay in full now via debit or credit card.
    • My church is covering my registration cost.
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    By signing below, you agree to all the terms and conditions listed in the above Medical Liability Waiver, General Liability Waiver, COVID-19 Waiver, ECHO Code of Conduct, and the Cancellation Policy. If participant is 18 years of age or older, please have him/her sign below. If participant is under the age of 18, a parent/guardian must sign below on their behalf.
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    CONGRATS, YOU DID IT!

    Upon clicking submit, you will be automatically directed to our payment info page, where you can pay online and/or get mailing info to send a check. 

    Upon receiving your registration form and initial payment, we will send you confirmation of your acceptance via email along with a packing list. 

    Contact us at (985) 951-2215 or at echo@dumboministries.com with any questions or concerns. We can't wait to see you at ECHO at Maryhill!

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