Lumen Christi Confirmation Retreat 2023
The Confirmation Retreat is February 10th, 11th, & 12th and will be held at Rainbow Day Camp, Soref Center in Fredonia WI.  All students planning to attend are expected to ride the provided bus transportation and arrive at Lumen Christi no later than 5:30 PM on Friday, February 10th (North Parking Lot in Rear of Church Building).  Students should have eaten dinner before hand (or bring it on the bus).

The students will spend the entire weekend at the retreat center in Fredonia, WI and are not allowed to arrive late or leave early. The bus will leave Fredonia at 10:15 AM on Sunday February 12th and all students will attend the 11:00 AM Mass at Lumen Christi. Retreat will conclude with a presentation following Mass, and students may be dismissed at that time.

Parents, siblings, and Confirmation sponsors are invited to join us for 11:00 AM Mass on Sunday February 12th  and stay for the short presentation after Mass- which is intended for parents & guests.  The retreat will conclude around 12:30pm.

The cost of the retreat is $150.  If the cost of this retreat is difficult for your family at this time, please let us know. Please complete payment here: https://forms.ministryforms.net/embed.aspx?formId=90e493e1-dc01-482d-9860-61c8e961632d
We also ask that each student bring a snack (sweet or healthy) to share (serving size 25-30 people) - something that your child likes to eat is a bonus!  
In this registration, we invite students to list 1-2 people they would like to room with.  Each room sleeps 4-6 people with a private bathroom.  Room assignments will be made ahead of time using these the requests.
Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
Gender *
For sleeping room assignments
Parent/Guardian(s) Name(s) *
Home Address *
Parish Membership *
High School Attending *
Cell Phone Number for Parent Contact *
Medication *
My child is taking medication at present. My child will bring all such medications necessary, and such medications will be well labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are as follows. PLEASE TYPE "N/A" FOR "NOT APPLICABLE" IF CHILD DOES NOT REQUIRE ANY MEDICINE.
*EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. *
In the event of an emergency, if you are unable to reach me at the above numbers, contact the following person at the following phone number: (NAME, NUMBER) *
Who is your child's primary care physician? *
Physician's phone number? *
Insurance Provider Name *
Insurance Policy Number *
PHOTO PERMISSION: I hereby grant the release and use of any photo/image taken of my son/daughter for retreat and youth ministry program purposes *
Please list any dietary needs (gluten, dairy, peanut, etc) If none, write N/A *
Physical Restrictions *
Please list any physical restrictions. If none, write N/A
More Background *
Please explain in the space provided if your child is subject to chronic homesickness, emotional reactions to new situations, is currently being treated for depression or anxiety, sleepwalks, fainting, etc. If none, write N/A.
Please list 1-2 people that you would like to room with while on retreat. *
Retreat Expectations *
Retreat is a requirement for Confirmation and is an important part of the Confirmation Formation process.  Because of this, we cannot allow individuals to come late, leave early, or leave in the middle because it will be disruptive to the large group, small group experience, and the experience of the other candidates on retreat.  If a candidate has a conflict or a problem committing to the entire retreat weekend, the candidate should make arrangements to attend another retreat.  The CF department has a list of approved alternative retreat options, but ultimately it is the family's responsibility to attend the alternative retreat.
Retreat Expectations *
RULES FOR ALL CATHOLIC FORMATION ACTIVITIES AND EVENTS. The use of alcohol, illegal drugs and other intoxicants is strictly forbidden by Lumen Christi Catholic Formation Program. Persons showing evidence of having or using, or associating themselves in proximity to such illegal substances should expect the following to occur: Local law enforcement will be contacted. Parent(s) will be contacted and asked to pick up the student. If information is incomplete at the time of the church activity, the student and parent will be expected to cooperate with Catholic Formation Staff in an inquiry. The appropriate school contact will be made. A public note of apology to fellow participants, including church staff and adult leaders, as well as service hours to the church, will be required. To continue in any aspect of Catholic Formation, the student and parent will be required to attend parish-sponsored SAIL (Systematic Alcohol/Tobacco/Other Drug Intervention Linkage) sessions. The Starting Point of Ozaukee, Inc. operates these sessions. Catholic Formation intends to uphold the state statute regarding smoking: “It is illegal for persons under the age of 18 to possess any cigarette or tobacco product.” Wisconsin Act 95, Section 1.48.983 (2)(c).  Participants will not engage in any form of sexual activity or sexual harassment; Possess, or distribute pornography.  Females are never allowed in the male sleeping/dressing areas. Males are never allowed in the female sleeping/dressing areas. No one is to leave the sleeping area after lights out without the knowledge of an adult leader. No food/beverages in dorms. Turn lights off when leaving dorm. Gambling for any amount of money is not allowed.  If damage occurs and no one admits to it, charges will be issued to those in the area. Lumen Christi Catholic Formation reserves the right to dismiss any participant who shows disrespect, negativity, rudeness, or other disruptive and uncooperative behavior that impairs the event’s spiritual and prayerful atmosphere and purpose. Furthermore, to deter misbehavior and the use of illegal substances and weapons, Catholic Formation reserves the right to search any and all student property. I acknowledge that I have read and will abide by the rules and guidelines set forth.

Parents, we ask for your assistance to ensure that your teen is packing appropriately for this retreat and appreciate your vigilance for what your child is and is not packing for the weekend. 

Cell Phone Policy *

We ask that students leave their cell phones at home.  If deemed necessary for a cell phone to travel with a student, we ask that it be turned into the Youth Ministers at the start of the retreat and will be given back at the end of the retreat or when deemed necessary.  

Cell phones prevent us from being present in the moment.  Receiving constant status updates and texting with friends runs completely contrary to the purpose of going on retreat.  We recognize that this is not an easy thing to ask, but even with phone turned off or silenced it is a huge temptation that we want to help students avoid.  Additionally, it is a safe environment concern for students to have cell phones in their rooms.  

Suggestions for the weekend... Give someone your snapchat password so you can keep your streaks. But leave your cell phone at home.  They will be confiscated if brought out at anytime.

We will be in a safe environment.  Your child will have access to a phone  if he or she needs to contact you.  If you need to get a message to your child or talk with him/her in the case of an emergency, you may contact

Kayla, Olivia or Meaghan can be reached during the weekend on the LC YM Cell Phone:  (262) 665-9119 or at the Soref Center (920) 994-4614

Retreat Cost *
The cost of this year's Confirmation Retreat is $150 per participant. This cost covers transportation, facility usage, meals, priest stipends, musicians, and program content leadership and development. ONLINE PAYMENT NOW AVAILABLE. *Payment installments are available*
Liability Form & Final Signature *
I consent to the participation of my child/ward in the Confirmation Retreat.  In consideration for my child/ward’s participation, I agree to reimburse and indemnify the  Confirmation Retreat and it’s agent Lumen Christi and Soref Center for all reasonable legal and court fees incurred by Lumen Christi in defending a lawsuit that I or my child/ward may bring against Lumen Christi or Soref Center which relates to the  Confirmation Retreat if Lumen Christi is found not legally liable by the courts and prevails in the lawsuit.  If  Lumen Christi is found legally liable for injuries sustained by child/ward, this paragraph will not apply.  By signing this agreement, I also acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) may be exposed to COVID-19 by participating in the  Confirmation Retreat and that such exposure or infection could result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the  Confirmation Retreat may result from the actions, omissions, or negligence of myself and others, including, but not limited to employees, volunteers, and program participants.    By selecting the "I ACCEPT" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I ACCEPT" you consent to be legally bound by this Agreement's terms and conditions.
NAME *
NAME OF PARENT OR GUARDIAN ACCEPTING THE PROVISIONS SET FORTH IN THE ABOVE AGREEMENT.
DATE *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lumen Christi School. Report Abuse
Google Forms