Search Retreat Signup
November 22-24, 2019
Camp Wesley Pines, Gallman, MS
**THIS FORM IS FOR FIRST TIME SEARCH RETREAT YOUTH ONLY**
Cost $120 (scholarships may be available as needed if cost is a concern)
Parental Youth Consent forms are available at
(your parents may have already filled these out with your local parish)
What is the Full Name you would like printed on your name badge?
Aberdeen – St. Francis of Assisi
Amory – St. Helen
Anguilla – Our Mother of Mercy Mission
Batesville – St. Mary
Belzoni – All Saints
Booneville – St. Francis of Assisi
Brookhaven – St. Francis of Assisi
Bruce – St. Luke the Evangelist
Camden – Sacred Heart
Canton – Holy Child Jesus
Canton – Sacred Heart
Carthage – St. Anne
Charleston – St. John
Chatawa – St. Teresa of Avila
Clarksdale – Immaculate Conception
Clarksdale – St. Elizabeth
Cleveland – Our Lady of Victories
Clinton – Holy Savior
Columbus – Annunciation
Conehatta – St. Catherine Mission
Corinth – St. James the Less
Crystal Springs – St. John
Fayette – St. Anne
Flowood – St. Paul
Forest – St. Michael
Fulton – Christ the King Mission
Gloster – Holy Family Mission
Gluckstadt – St. Joseph
Greenville – Sacred Heart
Greenville – St. Joseph
Greenwood – Immaculate Heart of Mary
Greenwood – St. Francis of Assisi
Grenada – St. Peter
Hazlehurst – St. Martin of Tours
Hernando – Holy Spirit
Hollandale – Immaculate Conception
Holly Springs – St. Joseph
Houston – Immaculate Heart of Mary
Indianola – Immaculate Conception
Indianola – St. Benedict the Moor
Iuka – St. Mary
Jackson – Cathedral of Saint Peter the Apostle
Jackson – Christ the King
Jackson – Holy Family
Jackson – Holy Ghost
Jackson – St. Mary
Jackson – St. Richard
Jackson – St. Therese
Kosciusko – St. Therese
Leland – St. James
Lexington – St. Thomas
Louisville – Sacred Heart
Macon – Corpus Christi
Madison – St. Francis of Assisi
Magee – St. Stephen
Magnolia – St. James
McComb – St. Alphonsus
Meridian – St. Joseph
Meridian – St. Patrick
Natchez – Assumption of B.V.M.
Natchez – Holy Family
Natchez – St. Mary Basilica
New Albany – St. Francis of Assisi
Newton – St. Anne
Olive Branch – Queen of Peace
Oxford – St. John
Paulding – St. Michael
Pearl – St. Jude
Philadelphia – Holy Cross
Philadelphia – Holy Rosary
Pontotoc – St. Christopher
Port Gibson – St. Joseph
Raymond – Immaculate Conception
Ripley – St. Matthew
Robinsonville – Good Shepherd
Rosedale – Sacred Heart
Sardis – St. John the Baptist
Senatobia – St. Gregory the Great
Shaw – St. Francis of Assisi
Shelby – St. Mary
Southaven – Christ the King
Starkville – St. Joseph
Tupelo – St. James
Vicksburg – St. Mary
Vicksburg – St. Michael
Vicksburg – St. Paul
West Point – Immaculate Conception
Winona – Sacred Heart
Woodville – St. Joseph
Yazoo City – St. Mary
for example: 12/5/1990
For example, John and Lisa Smith
Parent Mailing Address
for example: same as above or list addresses if necessary
Parent Email Address
Parent Phone Number
Have you ever been on a retreat before?
What activities are you involved in, what are your hobbies?
Why do you want to attend the Search Retreat?
Any other comments or special needs?
Who encouraged you to sign up for the Search Retreat?
My Code of Behavior
At all Church sponsored activities, I, along with my peers, represent the Catholic Church. Responsible leadership and character has for so many years been the trademark of Catholic youth within this diocese.
NORMS FOR MY PARTICIPATION...
-I am responsible for my own actions and will be asked to assume the natural consequences for any negative behavior or disturbance. I will take full responsibility for any damage or theft.
-I understand that delegated youth/adult leaders will be enforcing the Code of Behavior.
-I am expected to attend all Search activities on time. A name badge, when provided, will be worn at all times
-I will get a good night’s rest at overnight Searches and agree to any curfew set by Search staff. No visiting is allowed after curfew. Curfew means shut eye time.
-I cannot leave the Search retreat area until the retreat is complete.
-Positively no alcoholic beverages or illegal drugs are allowed.
-Christ-like behavior is promoted and expected at all times. Therefore, inappropriate contact, touch, gesture, language or activity of a sexual nature, is unacceptable.
-No smoking is allowed during any of the Search activities.
-Local or long distance calls that are absolutely necessary will be made at my expense.
The important thing for me to remember is that I represent the Catholic Church and I am asked to project an image of Christian consideration, sensitivity and respect to all others and to the property around me. Infractions of these rules will result in the Search Staff/or Supervising Adult discussing the infraction with the participant. In the unlikely event that a behavior problem based on the above requires extreme action, it is likely to result in my parents being notified and dismissal from the activity and sent home at my own expense.
I agree to cooperate and have no trouble adhering to this simple “Code of Behavior.”
I do not agree
Note: Your registration is not complete yet
We will mail you a packet that must be filled out and returned 3-4 weeks before the retreat.
Press the submit button below to submit your form.
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