ArchKCK Catholic Scouting Retreat 2023 YOUTH Registration
Experience the Kenosis Leadership retreat with other scouts of your Catholic Faith at Prairie Star Ranch, indoor and outdoor adventures, leadership and faith experiences.

2023 includes a NEW high ropes experience, low ropes, team building, and possibly horse back riding or  climbing the power pole. (All outdoor activities are weather dependent.) Exact schedule is still being determined based on the number of participants and the weather forecast. 

Be sure to pack accordingly for the weather. A scout is prepared. Our goal is to be outdoors at least for a hike! 

We will sleep inside the dorms with separate boys and girls dorms. 2 Deep adult supervision is required in each dorm. 

1124 California Rd, Williamsburg, KS 66095
Arrive: Saturday, Feb 4, 2023 @ 9:00 am
Depart: Sunday, Feb 5, 2023 @ 10:00/10:30 am
Cost: $50 per scout, $15 per adult, exact cash or checks written to ArchKCK CCS

PSR Covid, flu, and related illness protocol - Masks are not required at this time, but you are welcome to wear them if you are more comfortable. Please do NOT attend if you have had a recent exposure or have any Covid, flu, or Covid-like symptoms. You will not be charged the participation fee.

PLEASE FILL OUT THIS REGISTRATION FORM FOR EACH INDIVIDUAL YOUTH PARTICIPANT
(ADULTS have a separate registration link:  Adult Retreat Registration )
Print and fill out the appropriate Prairie Star Ranch Waiver. One per person is required at check in.

- Together, the BSA and AHG registered adults will provide 2 deep leadership to all youth. 
- Youth can participate with their leaders or with a parent. 
- All adults need to be VIRTUS trained. 
- We prefer all adults to either have BSA Youth Protection Training or AHG KEYS training as well. 
- We will watch this closely and notify all participants if more chaperones are needed.

Jan. 5th - Registration opens.
JANUARY 21, 2023 - Registration closes to allow for proper planning.

QUESTIONS? E-mail Tonya Gast at ahgarchkck@gmail.com OR Matt Thomas matt.a.thomas.1@gmail.com 
Sign in to Google to save your progress. Learn more
Email *
Youth Participant Last Name *
Youth Participant First Name *
Which Scouting Organization are you registered with? *
I am working on the following religious emblem: *
Unit Number (i.e. AHG KS0138 or BSA 93) *
Unit Charter and Location (i.e. Holy Trinity, Lenexa)
Parent/Emergency Contact name *
Parent/Emergency Contact Phone Number *
Parent/Emergency Contact Email address *
Please list your unit leader, chaperone or parent if one is attending.  (First and Last name) *
Adult chaperone phone number *
Chaperone E-mail address *
List any additional adult chaperones this youth is familiar with that plan to attend the retreat. (We will ask for more chaperones if needed!)
List any health concerns, allergies, or if this youth carries an epi pen. Medications must be turned in to the chaperone with appropriate documentation and instructions.
Please list serious dietary restrictions (not preferences). Some accommodations can be made. Participants are welcome to bring additional food to meet their needs. We have refrigeration available. The price does not change even if you bring your own food as the meals are paid for by the CCS, not the retreat fee. We will e-mail out the menu 1 week before retreat. Contact Tonya Gast to discuss if needed ahgarchkck@gmail.com
I understand that we must bring the following:     The price is the same whether you spend the night or not. Please bring exact cash or make checks to ArchKCK CCS. Scholarships are available using the ArchKCK scholarship form. Email Rick Cheek at youth2@archkck.org if needed. Thank you!   *
Required
Will you play an instrument or lead singing at mass? Songs are being chosen ahead of time. A CCS committee member will contact you 1-2 weeks before retreat. (Sign up for other Mass participation will be at retreat check in).
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms