Clone of Camp Prep Weekend 2025- SGYW

Ablaze 2025-2026

Schoenstatt Girls and Young Women - Waukesha WI
1. Registration
Total Number of Participants Registering*

2. Participant(s) Information
Participant Full Name*

First NameLast Name
Participant Date of Birth*

MonthDayYear
Participant Age*
Health Care or other needs
Special Diet
2nd Participant Full Name*

First NameLast Name
2nd Participant Date of Birth*

MonthDayYear
2nd Participant Age*
Health Care or other needs
Special Diet
3rd Participant Full Name*

First NameLast Name
3rd Participant Date of Birth*

MonthDayYear
3rd Participant Age*
Health Care or other needs
Special Diet

3. Parent/Guardian Information
Parent/Guardian Name(s)*
First and Last Name(s)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Emergency Phone Number*
E-mail*
example@example.com
Health Insurance Company
Health Insurance Policy Number

4. Parental/Guardian Permission Waiver
PLEASE READ CAREFULLY & SIGN BELOW: I herewith give my permission and assume all responsibility and liability for any illness or accident that might occur to my daughter(s) during their stay at the Schoenstatt Retreat Center. I also authorize medical personnel to provide emergency treatment in case I cannot be reached.

I hereby grant permission for transportation for scheduled outings planned during the Ablaze events.

I hereby grant permission for planned PG or PG 13 movies during Ablaze events.

I hereby grant to the Schoenstatt Girls and Young Women the right to use or to reproduce video images, photographs, likenesses or the voice of my daughter(s) in any legal manner and for the internal and external promotional and informational materials of the Schoenstatt Girls and Young Women.

I understand that the Schoenstatt Movement will exercise the utmost discretion in the use of any photographs or videos taken of my daughter(s) at Schoenstatt events.

I understand that this permission form is good for Ablaze events from Oct 2025 to Oct 2025.
Parent/Guardian Signature*
Date*

5. Donation
Help support the mission of the Schoenstatt girls and young women! Your donation goes towards scholarships for families and young women to make it possible to attend events, retreats, and summer camps. Help us share the love and fire of our Blessed Mother and her Son!

Please Note: You do not need a PayPal account in order to donate online.

You can also send payment by mail via check. Please address the check to the Schoenstatt Sisters of Mary. Address the envelope to Schoenstatt Girls and Young Women (SGYW).

Address:

Schoenstatt Retreat Center - SGYW

W284n698 Cherry Ln,

Waukesha, WI 53188
Event Payment

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6. Submit
Additional Comments
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