A Man For Others - Young Men's Retreat
Event Timing: Thursday, July 14th 2022 (8:30am - 6:15pm)
Event Address: St. Benedict's Catholic Church - 300 N Sheppard St, Richmond, VA 23221
Contact us at douglasw@cua.edu
Registration closes July 12th.
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Seminarians and Highschool Men in the greater Richmond area are gathering for a Day Retreat focused on Prayer and the Life of Virtue through the Example of Saint Maximillian Kolbe. Sign up below
Name (First and Last) *
Grade *
Email *
Emergency Contact (Name, Phone Number, and Relation to Participant) *
Home Parish *
Dietary restrictions *
In a few sentences (no more than five) share why you're interested in participating in this retreat. *
Photo Release: Pictures of your teen participating in activities related to the parish or diocesan events may be posted through St. Benedict Catholic Church and/or Diocese of Richmond publications or websites.  Names of participants will not be used without expressed permission from the parent or guardian.  If you do not want your child’s picture to be used for publications please email the Director of Evangelization of Catechesis of Saint Benedict (bfleser@saintbenedictparish.org).  Please note, if you decline to have their picture used we will have to remove them from photographs with their group. Please click the box indicating:  "I understand and agree to the above statements." *
Medical Release: As parent and/or legal guardian I remain legally responsible for any personal actions taken by the above named minor.  I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to  hold harmless and defend St. Benedict Catholic Church and School the Catholic Diocese of Richmond, its employees and agents, chaperons, or representatives associated with this event from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese, its employees and agents and chaperons, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese.  I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.  In the event of any emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical 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 I give permission for the noted emergency contact to be notified.  I will not hold St. Benedict Catholic Church and School and the Diocese of Richmond responsible for authorizing any medical treatment beyond necessary transportation to the hospital. Please click the box indicating: "I understand and agree to the above statements." *
Parent/Guardian Electronic Signature *
Packing List
-Clothing/ Shoes for Sports as well as Church
-Any Day-time Medications one may take
-Drawstring bag
- $5 (covers food costs)
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