High School Winter Retreat

High School Winter Retreat 2026: Given
- Registration and Deposit
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender: REQUIRED Please fill out this field.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field.
  
  Primary Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Secondary Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Any allergies or dietary restrictions? REQUIRED Please fill out this field. Please enter valid data.
  
  CODE OF CONDUCT
  All participants are expected to follow the rules below while participating in Saint Joseph Youth programs. Please review them with your child.
  Treat all other persons with respect.
  Not cause any intentional harm (physically, emotionally, or spiritually) to any person in any way.
  Respect the property of others, including all program facilities and property.
  Follow all appropriate instructions of all personnel (staff, chaperones, youth directors, transportation personnel, etc.)
  Be on time for all activity check-ins and departure time.
  Not have in my possession any tobacco, alcohol, controlled illegal substances, or weapons.
  Dress modestly and appropriately for the activity.
  
  I agree to abide by this code of conduct. Please select this field.
  
  PARENTAL CONSENT & INDEMNITY AGREEMENT
  I, the aforenamed parent, grant permission for the aforenamed child to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold Church of Saint Joseph and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify Church of St. Joseph and the Archdiocese of St. Paul & Minneapolis from any claims or lawsuits brought against the Church of Saint Joseph/Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the Church of St. Joseph and the Archdiocese in defense of such a claim/suit.
  I agree that I am responsible for my child’s conduct and actions. The event sponsor is not responsible for any injury or damage incurred or caused by my child. I understand that my child is required to comply with the Code of Conduct provided by the parish while participating in the event. I understand that if my child violates the Code of Conduct he/she may be required to be transported home at my expense.
  
  USE OF IMAGE
  I grant permission to the Church of Saint Joseph and Archdiocese of Saint Paul and Minneapolis to use and publish for advertising, commercial or publicity purposes, the name and likeness of my child, or for any other lawful purpose whatsoever, including photographic portraits, pictures, reproductions, or audio or video recordings, made through any medium, including electronic media, and the undersigned parent/guardian does hereby release and the Archdiocese of Saint Paul and Minneapolis or anyone authorized by the Archdiocese of Saint Paul and Minneapolis with such use. This authorization and consent permits such use to associate my child’s name with the likeness for such purposes provided such use is consistent with the acceptable use policy for electronic communications and other policies.
  
  EMERGENCY MEDICAL TREATMENT
  In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I agree to allow my child to receive emergency medical treatment at my expense at the discretion of the event sponsor. I wish to be advised prior to any further treatment by a doctor or hospital.
  
  BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
  
  I acknowledge that I have read and agree to these terms. Please select this field.
  
  Typed Signature REQUIRED Please fill out this field. Please enter valid data.
  
  $50 deposit secures a spot for your child and goes toward the total cost of $200. While each individual child needs his/her own form, deposits may be paid for multiple children in one payment.
  
  $100 Deposit per Child $ Please enter a positive decimal.
  
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