LS Youth Retreat May 2026

Living Skies Region Youth Retreat

Spring 2026
Grades 7-12

WHERE: Calvary United Church, Prince Albert SK

WHEN: Friday, April 24, 7:00pm

to Sunday, April 26, 1:00 pm

COST: $50/participant

A great weekend to share, connect, laugh, and grow in our faith together.

Registration Deadline: Monday April 13, 2026

Support funding is always available so everyone is able to take part, thanks to some generous sponsors! Choose the appropriate option for you in the payment section below.

***Remember to bring your sleeping bag, pillow, sleeping pad/mattress & some warm clothes!
Participant Registration Form

Please ensure that all sections are completed and you click the SUBMIT button.
A. Personal Information

Privacy Act Information: The United Church of Canada is committed to protecting the privacy of personal information. Personal information is collected, used, maintained and disclosed in compliance with The United Church of Canada Privacy Policy and applicable federal and provincial privacy legislation including, but not limited to, The Personal Information Protection and Electronic Documents Act.
Participant Name (as they would like on their name tag):*

First NameLast Name
In the next box we are asking for the registrant's pronouns; the pronouns they like others to use when talking about them.If you're not sure what this means, and why we would ask Learn more by clicking here.
Participant's Pronouns:
Pronouns (examples: she/he/they... see above if unsure)
Birth Date:

MonthDayYear
Grade:
Participant Email Address:
Participant Phone Number:*

Area CodePhone Number
Participant Mailing Address:*

Address

Address Line 2

CityProvince

Postal Code
Home Church, Congregation, or Community of Faith (if applicable):
We are willing to have our contact information shared if someone in our area is asking for a ride
B. Accessibility, Health and Dietary Information

(Please note: all information is confidential)
Participant Name (as it appears on their health card) *

First NameLast Name
Saskatchewan Health Card Number:*
Dietary needs: Please describe below any dietary needs, their severity, and what you need us to do to help this participant stay safe and comfortable. Note: We are an allergy-aware event but cannot guarantee an allergen free environment. Also while we try to accommodate special needs and requests submitted to us in advance, we may ask you to provide some of your own food if your child's dietary need is too complicated or costly. Please submit any special requests at least 2 weeks in advance to be considered, and please let us know if bringing some of your own food would be easier.
Is the participant prescribed an inhaler and/or epi-pen? If yes, please explain any instructions.
Names and dosage of other medications that the participant will bring with them that need to be taken over the weekend:
Self administeredAdministered by an adult
AdvilTylenolOther
Additional needs: If this participant has non-dietary allergies or other medical, mobility, or emotional needs that should be taken into account in the planning of our event, please describe them here.
Yes please call meI do not need a phone call at this time
Sleeping Arrangements: All-Gender Accommodation Policy

All-Gender Accommodation is an expression of Living Skies YAYAC’s commitment to create safer spaces for 2SLGBTQIA+ belonging, as outlined in the Living Skies Region Affirming Statement.

At our retreats everyone brings their own sleeping bag and pillow (and camping mattress if they have one). We sleep on the floor of the church, which most youth find uncomfortable, but worth it, in terms of making retreats possible on a sustainable budget!

Thank you for your understanding and patience as we work to build a safe and inclusive community for all. If you (participant/parent/guardian) have any questions, do not hesitate to contact the Youth and Young Adults Minister, Rev. Lindsay Mohn, at livingskiesyaya@united-church.ca

On your registration form please indicate what the participant’s current dorm choice is: universal, girls or boys. Also indicate how you would like us to proceed if your participant wishes to switch to a different dorm than the one indicated, after arrival at the retreat.
I am comfortable sleeping in a universal sleeping space OR a single gendered sleeping spaceI am only comfortable sleeping in a universal sleeping spaceI am only comfortable sleeping in a girls' sleeping spaceI am only comfortable sleeping in a boys' sleeping spaceOther
I, parent/guardian of the registrant am willing for this registrant to make that choiceI, parent/guardian of the registrant would like a phone call to talk it over with them, if this registrant wishes to move to a different sleeping space.
C. Parent/Guardian Permission

(For all participants under the age of 18)
1. Parent/Guardian Name:*

First NameLast Name
Parent/Guardian E-mail Address:*
Parent/Guardian Contact Phone Number:*

Area CodePhone Number
2. Emergency Contact (if different from above):

First NameLast Name
Emergency Contact Phone Number:

Area CodePhone Number
Anything else we need to know that hasn't already been covered above?
YesNo
YesNo
If no, please explain restriction/expectations:
Informed Consent and Agreement of Participation

While every precaution will be taken for the safety and good health of participants, some sports and activities carry with them the inherent risk of personal injury. I understand that by allowing this registrant to participate in the activities of this supervised event, I am exposing them to inherent risks and hazards. I accept all these risks and hazards and agree that by allowing them to participate in these activities, I acknowledge that I will be responsible for any injury or other loss which may occur during their participation in these activities.

I, authorize the leaders, or their designate, to permit emergency treatment for this registrant if it is deemed necessary. (Efforts will be made to contact parent/guardian before treatment is given.)

I, parent/guardian, agree to hold blameless the Living Skies Region of the United Church of Canada, its personnel, leaders and council from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of this event, as well as of any medical treatment authorized by the supervising individuals providing leadership at the retreat.

By clicking submit at the end of this form, I am acknowledging that I, the parent/legal guardian of the above named participant:

- am agreeing to allow the participant to attend this event, and
- have read and agree to the above statements, and
- state that any information given in the registration above is correct.
Signature of Parent/Guardian (don't worry - messy signatures are ok!)*
D. Registration Payment

Cost: $50/participant (please note that we do not want cost to be a barrier for participation - choose the option that works best for your family at this time)
Full fee: $50Subsidized fee: $25Fully sponsored: $0
Etransfer: send now to livingskies@united-church.ca with a note "Youth Retreat" and participant's name. Multiple registrations can be paid for in the same transfer.Cheque written to Living Skies Regional Council (hand in at the registration table)Cash (hand in at the registration table)n/a (I have selected the $0 option)
E. Submit Registration Form

Last step: Press the "Submit" button below, and forward your payment as selected above! We can't wait to see you!
F. Leadership Team Info (just in case you're wondering)

Feel free to contact us if you have any questions or concerns.
Rev. Lindsay Mohn is the regional Minister in support of Youth & Young Adult Ministry for Living Skies Region (geographic Saskatchewan). She's playing the role of registrar and planning team co-ordinator for this retreat and is excited to be working a bunch of amazing leadership people.

Lindsay: livingskiesyaya@united-church.ca or (306) 291-5943
Should be Empty:

Participant Registration Form

A. Personal Information

B. Accessibility, Health and Dietary Information

C. Parent/Guardian Permission

D. Registration Payment

E. Submit Registration Form

F. Leadership Team Info (just in case you're wondering)