• Reflections: Saint Susanna Confirmation Retreat Registration

  • DATE: Saturday, Nov. 7 -Sunday, Nov. 8th 


    Please arrive at Bradford Woods at 1:00 p.m.
    Parents should plan to pick-up there at 5:30 p.m.

    LOCATION: Bradford Woods, 5040 State Road 67 N, Martinsville, IN 46151

    COST: $95

  • Participant Information

  • Emergency Contact Information

  • Format: (000) 000-0000.

  • Health Information

  • Format: (000) 000-0000.

  • Payment

    This registration fee helps cover the cost of space rental, participant lodging, t-shirts, meals, and supplies. Please email Ellice Bedel at ebedel@saintsusanna.com if you would like to request a scholarship.

  • Payment

    prevnext( X )
          St. Susanna Confirmation Retreat Participant Registration
          $95.00$95.00
            
          St. Susanna Confirmation Retreat Participant Registration Scholarship

          Only choose this option if you have received prior approval from Ellice. 

          Free$ Free
            
          Mary, Queen of Peace Confirmation Participant

          You will pay your retreat fee directly to MQP.  Do not pay here.

          Free$ Free
            
          Total
          $0.00$0.00
          Debit or Credit Card

        • Release, Conduct, and Signature Acknowledgements

        • PARENT AGREEMENT

           

          Please sign below to indicate you have read and agree to the terms of the following Liability Waiver:

          I grant my son/daughter permission to participate in the REFLECTIONS Confirmation Retreat on November 7-8, 2026.

          In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental in such participation and do hereby release, absolve, indemnify, and agree to hold harmless St. Susanna Parish, the Archdiocese of Indianapolis, its agents, employees and offices and the chaperones, leaders, organizers and sponsors, and persons. Neither the Archdiocese of Indianapolis/St. Susanna Parish nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of the activity. I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.

          In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical treatment to be administered. I wish to be advised prior to any further treatment by the hospital or doctor.
           
          We, the undersigned, have read this release and understand all its terms and execute it voluntarily and with full knowledge of the significance.
          **Parent, draw your signature into the box below:

        • CODE OF CONDUCT - STUDENT AND PARENT AGREEMENT

          I am willing and committed to follow all expected guidelines and rules for safety and consideration of others during the entire time that I am present on the confirmation Retreat. (THIS includes but is not limited to: going to bed at appointed time, no drugs or alcohol, proper attire and following directions of chaperones and leaders. I understand that my parent/guardian will be notified immediately of any infractions and that I will be sent home at the inconvenience of my parents if necessary.


          **Student and parent, draw your signature into the boxes below:

        • Should be Empty: