Confirmation Retreat Registration Form
2020-2021 CONFIRMATION RETREAT

DATES: March 12th and 13th

LOCATION: Church of the Incarnation Parish Hall
2309 Monterrey Rd. NE
Rio Rancho, NM 87124

TIMES:
- Friday: 4:30pm-9:00pm
- Saturday: 9:00am- 9:00pm

CONFIRMATION RETREAT FEE: $25

DESCRIPTION
A retreat is required by the Archdiocese of Santa Fe for every Confirmation student. Typically our parish will take the Confirmation Students on a weekend long retreat to a retreat facility. However, this year due to Covid-19 and the capacity limit restrictions we had to cancel the November reservation.

The teens will now attend a two day retreat here at Church of the Incarnation in the Parish Hall March 12th & 13th. This is NOT an overnight retreat, please make sure that the teens have transportation to be dropped off and picked up both Friday and Saturday.

We do not know what restrictions and safety guidelines will look like months from now, but the safety of your teens will be our top priority. We will follow the physically distanced regulations. Every student will be required to wear a mask and use hand sanitizer before entering the building. If your teen has a fever or is sick they need to stay home. If we are not permitted in March to meet in person, we will make the accommodations to either change the dates or move the retreat to Online. As of now this is our plan of Action and we pray we are able to meet in person.

Phones will be collected at the door both Friday and Saturday and will be given back at the end of each night to contact parents. The reason this will be done is so the teens can get away...Retreat, from the distractions of the world and technology and focus on their relationship with Christ and their community. If there are any concerns or emergencies that may occur Friday and Saturday the Instructors and myself can be contacted through Flocknote, which is the messaging platform that has been used to send out updates and reminders about Confirmation. If you are not signed up to receive these messages just text ccincarnation to 84576.

Meals will be provided Friday and Saturday. On Friday, dinner will be provided. On Saturday lunch, dinner, and snacks will be provided. Make sure the teens show up having already eaten breakfast on Saturday. There will be a small fee for the retreat to cover the cost of these meals. The fee for the retreat will also cover the cost of T-Shirts and other supplies that will be given to the teens.

If finances are an issue please let us know. If you have any questions, comments or concerns please contact Katie by calling the parish phone (505) 771-8331 or by email katie@incarnation.church.
First Name of Student *
Last Name of Student *
What is your child's gender? *
What Size T-Shirt do they wear? *
Does your teen have any type of Allergies (Include both food and medications)? If yes, what are they? *
Does your student take any medications? If, so what are they? *
Do you give permission to the supervisor of the activity to administer the medication to your student if needed on retreat? *
If your student needs medication, describe the directions on how to administer them below. (If they do not need to be administered medication type N/A below) *
Is the participant in general good health and able to participate in normal activities? (If No, please include statement including these limitations) *
Name of Physician? *
Physicians Phone Number? *
Ex. (505) 123-4567
Family Health Insurance Company? Policy Number? *
Example: Blue Cross Blue Shield, XYZ4567891011
In clicking yes below . I hereby certify that the above information is correct and give permission for my child for the release of medical records to an attending physician in the case of illness. In the case of a medical emergency, I understand that every effort will be made to contact parents or guardians of participants. In the event that I cannot be reached, I hereby give permission to the physician selected by the Institute Director to hospitalize, secure property treatment for, and to order injection, anesthesia or surgery for my child, as named herein. *
Emergency 1 Contact Name. How are they related? *
Example: John Doe (Father)
Emergency 1 Contact Phone Number. *
(505) 123-4576
Emergency 2 Contact Name. How are they related? *
Emergency 2 Contact Phone number? *
Media Authorization/Photo Release-I hereby give permission for my child to be photographed or videotaped at Church of the Incarnation I authorize the photo/video to be published on the parish website, bulletin or other parish and/or Archdiocesan publications. *
How do you wish to Pay the Retreat fee of $25.00? (This will cover food, T-Shirt, and other supply costs.) *
Would you like to help with food for the retreat? Check all that apply. (Keep in mind we will be serving about 40 people each meal)
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