Freshman Retreat

WHO: All Lumen Christi Catholic Formation freshman students.  Retreat is a requirement of our three-year Confirmation program.  

WHY: This group of Freshman will be spending the next four years together in the Lumen Christi Youth Ministry family as freshmen, sophomores, confirmation candidates (juniors), and senior peer leaders and we want them to have an opportunity to get to know one another better, dive deeper in their faith, and grow in relationship with one another and with God.

WHERE: Lumen Christi Parish: St. Cecilia Hall

WHEN: Saturday, February 27th. 9:30am-5:30 pm.  Retreat will end following the 4:30 Mass.  
Students are expected to be present for the entirety of the retreat.

COST: $30

Please make checks payable to Lumen Christi. Please write "freshman retreat" in the memo line OR pay online at: https://lumenchristi.weshareonline.org/Freshman9thGradeRetreat
 
Cost includes supplies, individually packaged lunch, and individually packaged snacks/drinks.  

Transportation: None provided; Meet at Lumen Christi.  

Parents are invited to join us for the 4:30PM Mass on Saturday. Students are expected to attend Mass together and are free for dismissal, following.
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Participant First Name *
Participant Last Name *
Parent/Guardian First & last Name *
Home Address *
Parent/Guardian primary Phone Number *
Parent/Guardian Email *
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 individual                                                   (List first and last name) *
Phone Number of Emergency Contact *
Relationship to Participant *
Physician's Name *
Physician Phone Number *
Insurance *
WHAT IS THE NAME AND POLICY NUMBER OF YOUR FAMILY HEALTH PLAN CARRIER?
Emergency Consent *
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.
Date of Emergency Consent *
please date:
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Medications *
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.
Medication and other Medical Treatment Consent *
MEDICATIONS AND OTHER MEDICAL TREATMENT CONSENT * 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.
Providing Medication *
In the event that the child becomes ill with symptoms such as headache, vomiting, sore throat, fever, or diarrhea, do you grant permission for supervisors to give your child non-prescription medication, such as acetaminophen, throat lozenges, cough syrup, or antacid?   Please note, due to COVID, we will most call the parent/guardian to pick up their child if symptoms above are listed  MEDICATIONS AND OTHER MEDICAL TREATMENT CONSENT * 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.
Medical Background *
Specific Medical Information: The parish will take reasonable care to see that the following medical background of your child will be held in confidence. Please list any allergic reactions (medications, foods, plants, insects, etc), medical issues, mental health concerns, special needs or allergies.
Diet
Please list any dietary needs or food allergies. Please note that we will be reaching out to you closer to the date of retreat to have your student pick their boxed lunch choice.  Due to COVID, all food will be pre-ordered and boxed up.  We will do our best to accommodate all dietary needs.  
Physical Restrictions
Please list any physical restrictions.
Exposure
If your child has recently been exposed to a COVID-19 or any other contagious disease or conditions, such as mumps, measles, chickenpox, etc., please list the date and disease or condition.
Retreat Expectations *
Retreat is a requirement of the high school catholic formation program and is an integral part of the catechetical formation program you all have registered for.  Because of this, we cannot allow individuals to come late, leave early, or leave in the middle because it will be disruptive to the individual's experience and the experience of the other candidates on retreat.  If a candidate has a conflict or a problem committing to the entire retreat, please contact Krolla@lumenchristiparish.org.
Retreat Rules *
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). Gambling for any amount of money is not allowed. 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.
Social Distancing Guidelines *
It is clearly understood that student's must adhere to our social distancing guidelines.  Students will be asked to wear their masks at all times, except for meals/snack.  Students will be socially distanced for all activities and meals/snack.   My student is aware that they will need to adhere to our safety precautions to keep all students and staff safe in light of the COVID pandemic.  
Photo Permission *
PHOTO PERMISSION: I hereby grant the release and use of any photo/image taken of my son/daughter for promotion of our programs.
Retreat Cost *
The cost of the Lumen Christi Retreat is $30 per participant. Checks can be made payable to Lumen Christi Catholic Formation and dropped off at 2750 W Mequon Rd, Mequon 53092 or payment can be submitted online at https://lumenchristi.weshareonline.org/Sophomore10thGradeRetreat
Final Signature
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.
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NAME *
NAME OF PARENT OR GUARDIAN ACCEPTING THE PROVISIONS SET FORTH IN THE ABOVE AGREEMENT.
DATE *
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ADULT HELP NEEDED
We are having the retreat right here in Mequon at the School building since it's just single-day workshop. Please consider hanging out with us!
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