ECHO Mini 2024: Camp Abbey Registration

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PARTICIPANT'S NAME* This field is required.
First Name
Last Name
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SEX* This field is required.
Male
Female
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DATE OF BIRTH* This field is required.
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AGE AT THE TIME OF RETREAT* This field is required.You must be at least 18 years of age AND out of high school to qualify for this retreat.
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EMAIL* This field is required.
example@example.com
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CELL PHONE NUMBER* This field is required.
Please enter a valid phone number.
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MAILING ADDRESS* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
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American Samoa
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Mali
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Mauritius
Mayotte
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Moldova
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Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
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Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
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Samoa
San Marino
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Senegal
Serbia
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Somalia
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South Africa
South Ossetia
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Sudan
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eSwatini
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Other
Country
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IF APPLICABLE, PLEASE LIST THE COLLEGE OR UNIVERSITY YOU ARE CURRENTLY ATTENDING:
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IF APPLICABLE, PLEASE LIST YOUR CURRENT OCCUPATION:
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PAST ECHO EXPERIENCE* This field is required.
Please Select
Please Select
Yes
No
Is this your first ECHO?
If you answered "no" above, please list any past ECHO experiences you've attended.
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HOW WOULD YOU DESCRIBE YOUR KNOWLEDGE OF THE THEOLOGY OF THE BODY (NO WRONG ANSWER):* This field is required.
"I can quote it"
"I get the gist"
"I've heard of it"
"What's that?"
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INSURANCE & PHYSICIAN INFO* This field is required.In the event of an emergency, we want to be able to get you the medical services you need. Please carefully fill out the information below.
Name of Health Insurance Provider
Policy Number
Name of Primary Care Physician
Phone Number of Primary Care Physician
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EMERGENCY CONTACT PERSON* This field is required.In case of an emergency, who would you like us to contact?
Name of Emergency Contact Person
Phone Number of Emergency Contact Person
Relationship to Participant
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MEDICAL & ENVIRONMENTAL ALLERGIESPlease list below any medicines you are allergic to, as well as any environmental allergies we should be aware of.
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DIETARY RESTRICTIONSWe 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 you regarding your dining options.
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GENERAL LIABILITY WAIVER* This field is required.I understand that I remain legally responsible for any personal actions. I agree on behalf of myself, heirs, successors, and assigns, to hold harmless and defend Echo Community, the Archdiocese of New Orleans, Camp Abbey, their officers, directors, agents and staff, chaperones, or representatives associated with the event, arising from or in connection with my attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate Echo Community, the Archdiocese of New Orleans, Camp Abbey, 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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MEDICAL LIABILITY WAIVER* This field is required.I hereby authorize Echo Community to carry out the wishes I have named (herein) in areas of emergency medical treatment and other cases of illness for myself. This authorization inclusively extends from November 22-24, 2024. I hereby warrant, to the best of my knowledge, I am in good health, and I assume all responsibility for myself. In the event of an emergency, I hereby give permission to transport me 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 Echo Community pays, I agree to be billed and reimburse their expense.
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PHOTO RELEASE & VIDEO CONSENT* This field is required.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 Echo Community the irrevocable and unrestricted right and permission to take, use, re-use, publish photographic pictures of me or those of which I 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 heirs, distributes, guardians, legal representatives, and assigns to do release and will indemnify, hold harmless the photographer or videographer, Echo Community 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 Echo Community.
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ECHO CODE OF CONDUCT* This field is required.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. Echo Community, the Archdiocese of New Orleans, and Camp Abbey 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 Camp Abbey. 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. Echo Community, the Archdiocese of New Orleans, and Camp Abbey are not responsible for loss, damage, or theft that may result to such items.
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CANCELLATION POLICY* This field is required. 1. There is a non-refundable deposit of $50 required to secure your spot at ECHO. In the event of cancellation, this amount cannot be refunded. 2. If cancellation occurs before Friday, November 15, 2024 (7 days prior to the retreat), you will be refunded any monies paid over $50. 3. If cancellation occurs for any reason after Friday, November 15, 2024, 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 RETREAT COST:
$175 (Due by November 15, 2024)

PLEASE NOTE:

*If paying online, there is an additional $15 charge to help cover processing fees.

*You must at least pay your deposit of $50 to confirm your spot.

*Registration cost covers all food, lodging, and retreat supplies.

*We offer customizable payment plans and fundraising tools. Please complete your registration, then email us at retreats@echocommunity.us to inquire.
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PAYMENT METHODSWe are able to accept online payments via credit/debit cards as well as mail-in checks.
Please Select
Please Select
I will pay in full now via credit/debit card.
I will pay in full via mail-in check.
I will pay the $50 deposit now via credit/debit card, and the remaining balance by Sept. 15th.
I will pay the $50 deposit via mail-in check, and the remaining balance by Sept. 15th.
Please select your preferred payment method
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SIGNATURE OF AGREEMENT* This field is required.By signing below, you agree to all the terms and conditions listed in the above General Liability Waiver, Medical Liability Waiver, Photo Release & Video Consent, ECHO Code of Conduct, and the Cancellation Policy.
Clear
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PLEASE READ BEFORE SUBMITTING!

After reading, you must click SUBMIT for your registration to process.

After clicking submit, you will be redirected to a payment page to pay via credit/debit card.

If you selected to pay via check, disregard the following screen, make your check out to Echo Community, and mail it to:

Echo Community
83335 N. Factory Road
Folsom, LA 70437

You must pay at least the $50 deposit to confirm your spot.

We never want money to be the reason you cannot attend one of our events. If you have a financial hardship, please contact us. We will be happy to discuss options to help you attend.

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

Contact us at (985) 951-2215 or at retreats@echocommunity.us with any questions or concerns. We can't wait to see you at ECHO Mini!
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