Year 2 Confirmation Retreat 2026

San Francisco Solano Youth Faith Formation

Diocese of Orange

Student Permission and Release Form

Event: Year 2 Confirmation Retreat

Dates: Friday March 27 (5:30 PM) thru Sunday March 29 (11:30 AM)

Location: 23852 Hot Spring Canyon Rd, San Juan Capistrano, CA 92675

**Parents are responsible for drop off and pick up

at Lazy W Ranch**

The family plays a vital role in the retreat process. We invite parents to take part in a brief exercise with their students both Friday at drop off and Sunday during pick up. Please make plans to attend.

Price: $240.00

Deadline to Register: March 11, 2025 (no refunds will issued after this date)

I hereby give my permission for (registered student first/last name) to participate in the above-named activity. I agree to direct my child to cooperate and conform to the directions and instructions of the parish, school, or diocesan personnel responsible for this activity. As a condition of my child being allowed to do so, I hereby release and discharge the Diocese of Orange, its constituent organizations, including but not limited to, The Roman Catholic Bishop of Orange, a Corporation Sole, and their officers, employees, and volunteers, from any and all claims for personal injuries or property damage that she/he may suffer as a result of her/his participation in the activity described above, whether or not such injuries or damages are caused by the negligence, active or passive, of any of the entities or individuals named or described above. I agree that in the event my child is injured as a result of her/his participation in the above-named activity, including transportation to and from this activity, whether or not caused by the negligence, active or passive of the parish, school, or diocesan youth activities program or any of its agents or employees, recourse for the payment of any resulting hospital, medical, or dental treatment or related costs and expenses will first be had against any accident, hospital, medical or dental insurance, or any available benefit plans of mine or my spouse. I am not aware of any medical condition of my child which would render it inappropriate for her/him to participate in any activity. I hereby authorize the making of photographs, motion pictures, video recording, or other memorializing of said event and my child’s participation therein, and the publication and duplication or other use thereof. I hereby waive any rights to compensation or any right that I otherwise might have to limit or control such making or use. I hereby give permission to the physician, nurse, dentist, or licensed care staff selected by the supervisory personnel then present to render medical, dental or other appropriate treatment deemed necessary and appropriate by the physician, nurse, dentist, or licensed care staff.

While attending this event student will NOT:

bring or use any kinds of alcohol or drugs
engage in sexual behavior
steal the property of others
bring weapons of any kind
bring explosive devices
smoke, vape, or use tobacco of any kind
cause damage to property, car, bus, or building
As the Parent of this registered student I agree to all statements on this form:*

I agree
Student will abide by the rules and regulations set by the San Francisco Solano Youth Faith Formation Office and those in charge of this event*

I agree
As a Parent I understand that if the above mentioned student(s) violates this agreement she/he will be dismissed from the event immediately.*

I agree
As a Parent if my student(s) violate the rules and are dismissed I will be responsible for picking them up or arranging for their transportation. I understand that I will be held financially responsible for any damage or extra fees arising from the student(s) violation. Legal authorities may be contacted.*

I agree
Student Name*

First NameLast Name
Birthdate:*

MonthDayYear
Date
Student's Gender:*

MaleFemale
Your Child's Shirt Size:*
Does your child have any allergies? If so, please explain.*
Does your child take any medication? If so, please provide information on what the medication is and day/dose?*
Parent's Name:*

First NameLast Name
Parent's Cell Phone*
Preferred Email*
example@example.com
Parent's Signature:*

Clear

Please print this waiver and upload to this permission slip (see field below):
Upload Waiver Here*

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Year 2 Confirmation Retreat 2026Includes 3 day retreat, shirt, food and lodging.
$240.00 Quantity

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