filled retreat for third (students entering third) through ... 2018 brochure.pdfa fun-filled retreat...
TRANSCRIPT
A fun-filled retreat for third (students entering third) through fifth graders
(students exiting fifth grade). A trained staff of high school and college
youth, supervised by qualified adults, from throughout the diocese offer
caring relationships to assist these young people. A permission form and a
medical release form is required of everyone attending the retreat.
Arrival and Departure Schedule
Arrival and check-in at the Renewal Center: 8:30 am—9:00 am
Pick up from the Renewal Center: 2:45 pm—3:00 pm
Please note—due to the high cost of gas prices especially when using a bus, we
are no longer able to provide transportation from Victoria.
Cost per person: $25.00 (includes food and all craft supplies). Pre-ordered
T-shirts are available for $10.00. Space is limited, and will close when spots are filled.
Absolute Registration deadline May 23, 2018
An individual photo is required with your registration.
CAMP DAVID PACKING LIST
Things to wear and bring
Please note: Label all items with your name in case something gets lost.
□ T-shirt
□ 1 pair of sturdy tennis shoes
□ 1 pair of water socks or old tennis shoes for water
activities
□ swimsuit/cover up and/or shorts for swimsuit
□ towel
□ backpack
□ sun block
□ camera
□ water bottle with your name on it
□ personal prescription medication, (must be checked in with camp counselor)
Office of Youth and Young Adult Ministry
OFF
ICE
OF
YO
UTH
MIN
ISTR
Y •
DIO
CES
E O
F V
ICTO
RIA
IN T
EXA
S
REG
ISTR
ATI
ON
an
d P
ERM
ISSI
ON
FO
RM
/MED
ICA
L R
ELEA
SE
NA
ME_
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end
er:
□M
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urr
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rad
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ge__
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irth
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dre
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ish
& C
ity_
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ent’
s Em
ail A
dd
ress
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dd
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on
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ab
ove
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I her
eby
con
sen
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par
tici
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on
by
my
son
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ghte
r, _
____
____
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in a
ll sp
on
sore
d a
ctivi
ties
at
Cam
p D
avid
on
Ju
ne
13
, 2
01
8.
I u
nd
erst
and
th
at t
he
acti
vity
w
ill t
ake
pla
ce a
t th
e Sp
irit
ual
Ren
ewal
Cen
ter,
Vic
tori
a, T
exas
an
d t
hat
my
son
/dau
ghte
r w
ill b
e u
nd
er t
he
sup
ervi
sio
n o
f d
ioce
san
an
d/o
r p
aris
h p
ers
on
nel
. A
s p
aren
t o
r le
gal
guar
dia
n I
agr
ee t
o d
efen
d,
ind
emn
ify
and
ho
ld h
arm
less
th
e Sp
irit
ual
Ren
ewal
Cen
ter
and
th
e D
ioce
se o
f V
icto
ria,
its
cle
rgy,
offi
cers
, ag
ents
, em
plo
yees
an
d
volu
nte
ers
fro
m a
ny
clai
ms,
co
sts
or
exp
ense
s fo
r p
rop
erty
dam
ages
, p
erso
nal
in
juri
es
or
oth
er d
amag
es a
risi
ng
ou
t o
f m
y so
n/d
augh
ter’
s p
arti
cip
atio
n i
n t
he
abo
ve
men
tio
ned
acti
vity
.
I gr
ant
per
mis
sio
n f
or
no
n-p
resc
rip
tive
med
icati
on
(e
.g.
Tyle
no
l, th
roat
loze
nge
s, c
ou
gh s
yru
p,
Pep
to-B
ism
ol,
etc.
) an
d r
ou
tin
e n
on
surg
ical
med
ical
ca
re t
o b
e gi
ven
to
my
son
/dau
ghte
r if
dee
med
ad
visa
ble
by
the
sup
ervi
sin
g d
ioce
san
per
son
nel
. I
n c
ase
of
an e
mer
gen
cy,
I als
o g
ran
t p
erm
issi
on
to
tra
nsp
ort
my
child
to
th
e n
eare
st h
osp
ital
fo
r em
erge
ncy
med
ical
or
surg
ical
tre
atm
ent
and
fo
r an
au
tho
rize
d a
du
lt s
po
nso
r to
sig
n f
or
trea
tmen
t if
I ca
nn
ot
be
loca
ted
. I
her
eby
give
per
mis
sio
n f
or
my
son
/dau
ghte
r to
be
ph
oto
grap
hed
or
vid
eo
tap
ed a
t th
e ca
mp
. I
real
ize
that
th
e p
ho
to m
ay b
e p
ub
lish
ed in
th
e n
ewsp
aper
, a
mag
azin
e,
or
oth
er p
ub
licati
on
. Th
e vi
deo
may
be
use
d f
or
edu
cati
on
al o
r in
form
atio
nal
pu
rpo
ses
rega
rdin
g th
e p
rogr
ams
or
curr
icu
lum
at
the
Dio
cese
of
Vic
tori
a.
M
y C
hild
may
par
iticp
ate
in W
ater
aci
tivi
ties
at
cam
p.
____
____
_Yes
__
___
____
No
(P
leas
e in
itial
nex
t to
th
e o
pti
on
yo
u c
ho
ose
fo
r yo
ur
child
) D
ate_
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____
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___
Par
ent'
-s S
ign
atu
re _
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Fam
ily P
hys
icia
n__
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__ P
ho
ne
(__
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dre
ss__
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Cit
y &
Zip
___
____
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My
son
/dau
ghte
r is
alle
rgic
to
:___
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_
My
son
/dau
ghte
r ta
kes
the
follo
win
g m
edic
atio
n (
nam
e, d
osa
ge):
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This
med
icati
on
is f
or:
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_Med
icati
on
he/
she
is a
llerg
ic t
o:
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___
___
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___
____
__
Last
imm
un
izati
on
/bo
ost
er f
or
Dip
hth
eria
/Te
tan
us:
____
___
___
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List
an
y sp
ecifi
c m
edic
al p
rob
lem
s o
r p
hys
ical
lim
itati
on
s:__
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Nam
e o
f In
sura
nce
Co
mp
any_
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ho
ne
(___
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Nam
e o
f In
sure
d__
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Po
licy
#___
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_
In a
n e
mer
gen
cy, i
f u
na
ble
to
rea
ch p
are
nt/
gu
ard
ian
, ple
ase
co
nta
ct:
Nam
e___
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___
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Wk
(___
__)_
___
____
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Cel
l (_
___
)___
___
___
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Nam
e___
____
___
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Wk
(___
__)_
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Cel
l (_
___
)___
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___
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_
Mai
l fo
rm, p
ictu
re a
nd
$25
fee
to
:
Off
ice
of
Yo
uth
Min
istr
y •
P.O
. Bo
x 40
70 •
Vic
tori
a, T
exas
779
03
Dea
dlin
e: M
ay 2
3, 2
018
If y
ou
wis
h t
o o
rder
a 2
018
Cam
p D
avid
T-s
hir
t—p
leas
e in
clu
de
an a
dd
itio
nal
$10
.00
and
ind
icat
e yo
ur
T-s
hir
t si
ze.
On
ly p
reo
rder
ed T
-sh
irts
will
be
avai
lab
le.
___
YS
___
YM
___
YL
___
AS
___
AM
___
A L
An
in
div
idu
al
ph
oto
m
us
t ac
co
mp
an
y
this
re
gis
tra
tio
n
form
hea
d s
ho
t vie
w