Do not be afraid! Do not be satisfied with mediocrity.!
— St. John Paul II

"Be not afraid"

spring retreat

March 9th-11th at Damascus Catholic Mission Campus

Sponsored by the Youth Ministries of:

  • St. Andrew, Upper Arlington (Youth Minister: Teresa Whiteside)
  • St. Brendan, Hilliard (Youth Minister: Adam Boyden)
  • St. Catharine, Columbus (Youth Minister: Brendan O'Rourke)
  • St. Edward the Confessor, Granville (Youth Minister: Marissa Everhart)
  • Immaculate Conception, Columbus (Youth Minister: Gina Cecutti)
  • St. Matthew, Gahanna (Youth Minister: Maggie Smith)
  • St. Michael, Findlay (Youth Minister: Alyssa Brown)
  • St. Michael, Worthington (Youth Minister: Meg Heller)
  • Our Lady of Perpetual Help (Youth Minister: McAndrew)
  • Our Lady of Peace, Columbus (Youth Minister: Peter Richards)
  • St. Patrick, Columbus (Youth Minister: Patrick Reis)
  • St. Timothy, Columbus (Youth Minister: Dan McCallister)
  • Scioto Jackson Catholic Consortium, Portsmouth (Youth Minister: Paul Baum)

St. John Paul II lived one of the most extraordinary lives in all of human history. Known for his great love for JESUS IN THE EUCHARIST, THE BLESSED VIRGIN MARY, AND THE YOUTH, he will be our guide and "retreat master" as we seek to OPEN WIDE THE DOORS TO CHRIST so that Jesus may more fully be Lord of our lives!

START TIME: 6:00pm FRIDAY (Dinner provided)
END TIME: 12:00PM SUNDAY (Lunch not provided)

Packing List

DAMASCUS CATHOLIC MISSION CAMPUS, 7550 Ramey Rd, Centerburg, OH 43011

Cost: $80 Payable to your parish or the youth group you attend

(Nobody will be turned away for financial reasons. If you want to attend, please sign up and then let your youth minister know you need financial assistance. )

Deadline to Register: March 1st

Please complete the form below

I. Registration
A.
Name *
Name
Parent/Guardian Phone *
Parent/Guardian Phone
Participant Phone
Participant Phone
Date of Birth
Date of Birth
B.
Spring Retreat Damascus Catholic Mission Campus March 9th-11th, 2018
II. Permission
The undersigned hereby state(s) that (he/she/they) (is/are) the (parent/parents/guardian) of the above named Participant and have full legal responsibility for the Participant. The undersigned hereby grant(s) permission for the Participant to participate in the Activity named in Section I.B., above.
III. RELEASE AND INDEMNIFICATION
A. Release. The undersigned on behalf of the undersigned, the Participant, and the heirs, successors and assigns of the undersigned and the Participant, hereby release, hold harmless from any liability, and discharge from all direct or derivative claims, actions, causes of actions, medical expenses, costs, legal expenses, other expenses and all other damages at law or in equity, known or unknown, direct or indirect, choate or inchoate against the Diocese of Columbus, the Parish and all current and former employees, agents, clergy, officers and volunteers of the Diocese of the Parish, arising from the Participant’s participation in the Activity named in Section I.B., above. B. Indemnification. The undersigned shall indemnify and hold harmless the Diocese of Columbus, the Parish, and all current and former employees, agents, clergy, officers and volunteers of the Diocese of Columbus or the Parish from any claim, liability, suit, judgment, loss, damage, expense, fee or cost (including court costs and attorney fees) arising directly or indirectly from the Participant’s participation in the Activity named in Section I.B., above, unless arising from the negligence of an indemnified party.
IV. SPECIFIC MEDICAL INFORMATION AND MEDICATION
A. Specific Medical Information. The Parish will take reasonable care to see that the following information will be held in confidence.
The Participant is taking medication at present. The Participant will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for taking such medications, including dosage and frequency of dosage, are as follows:
Please check one of the following
V. EMERGENCY MEDICAL CONTACT AND TREATMENT
Parent or Person of Contact *
Parent or Person of Contact
Phone 1 *
Phone 1
Phone
Phone
Phone
Phone
B. Emergency Medical Treatment
In the event of an emergency, the undersigned hereby give(s) permission to transport the Participant to a hospital for emergency medical or surgical treatment. The undersigned wish(es) to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if the undersigned cannot be reached at the above numbers, contact: *
In the event of an emergency, the undersigned hereby give(s) permission to transport the Participant to a hospital for emergency medical or surgical treatment. The undersigned wish(es) to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if the undersigned cannot be reached at the above numbers, contact:
Phone *
Phone
VI. CONSENT FOR RELEASE OF PERSONALLY IDENTIFIABLE INFORMATION
The undersigned hereby consent to the release of photographs and name of the Participant to be used by the Diocese of Columbus and St. Catharine of Siena for future promotional programs of the Diocese and Parish. If you have any questions or concerns, please contact Brendan O'Rourke at 614-231-4509
VII. CODE OF BEHAVIOR
The Participant shall comply with the following:
1. The Participant must stay and participate in the entire event. The Participant may not leave the premises unless accompanied by an adult leader, parent, or legal guardian. 2. The possession or use of alcohol, tobacco, drugs, or weapons of any kind is not permitted. 3. Foul language is not tolerated. 4. The Participant must comply with any and all directions of activity staff. 5. The Participant must respect the rights and property of others. Damage to or defacing of property will be the financial responsibility of the Participant involved and the undersigned. 6. Failure to abide by this Code of Behavior may result in a request to the undersigned to transport the offending Participant from the premises, and the undersigned shall immediately comply with the request. ADULT CODE OF CONDUCT 1. Adults shall at all times conduct themselves in a lawful manner appropriate to the Activity. 2. Adults shall act with respect for all other participants in the Activity. 3. Adults shall act in accordance with the principles of the Roman Catholic Church. 4. Adult participants shall at all times be present and shall chaperone students assigned by group leader. 5. Adult participants will supervise and monitor the movement of students throughout the activity. 6. Adult participants will insure that no .students enter areas specifically prohibited. 7. Adult participants will insure that no students enter any rooms or areas that are not appropriately chaperoned by two adults. 8. Adult participants will use safe environment practices such as not meeting with students in secluded areas; making sure enough adults are chaperoning all activities; observing other adults who are interacting with youth; and notifying OYYAM staff of any inappropriate activities throughout the duration of the activity. 9. Adult participants will respect that the sessions are designed for the benefit of students and will refrain from excessive questions or participation in the sessions. 10. The possession or use of alcohol, tobacco, drugs, or weapons of any kind by students or adult participants is not permitted. 11. Failure to abide by this Code of Behavior may result in a request for the adult to leave the premises.
VIII. Signatures
PLEASE CHECK ALL THREE BOXES *
SAFE ENVIRONMENT COMPLIANCE (FOR ADULT CHAPERONES ONLY)
FOR ADULT CHAPERONES ONLY
Participant's Digital Signature *
Participant's Digital Signature
Date *
Date
Time *
Time
Parent or Legal Guardian's Digital Signature *
Parent or Legal Guardian's Digital Signature
Date *
Date
Time
Time