SMIC & Faith Formation 5th-8th Grade Youth Retreat Registration
Event Timing: Saturday Oct 5 from 4 pm through Sunday Oct 6 at 1 pm
Event Address: Parishioner Mike Landwehr's property in Guttenberg.
Person(s) in Charge: Joanne Hedemann, SMIC Principal and Stephanie Horns, Faith Formation Director
Sponsored by the Knights of Columbus Council 4148 and supported by Fr. Marvin Bries
2019 Youth Retreat “Fruit of the Holy Spirit”

GOAL – Understand, Seek, and Live the “Fruit of the Holy Spirit”
The intent is to draw these youth closer to God, provide them with real world tools to Grow in Faith, develop a Christian Community of peers and adults, see real life faith via examples covered by parishioners, and show them that being Catholic can be fun.
What the retreat includes:
-- Sessions teaching on the Fruit of the Holy Spirit
– Break Time fun and games
– Faith Based Movie
– Campfire
-- Christian Music
-- Outdoor Mass
– Gender specific sleeping quarters
– All meals provided
– Adult participation/supervision who have completed youth safety certification

All small group discussion and interaction will be in age appropriate pre-arranged groups.
NOTE: Parents are welcome to come and observe, but the Small Group activities and overnight accommodations are reserved for just the youth and supervisors.
Youth Name *
Your answer
Youth Grade *
Section 1 *
By clicking the box below, I (parent/guardian) certify that I request and give my permission for my youth to attend this event. Further, I have previously completed the Annual Parental/Guardian Consent Form and Liability Waiver* and agree to the conditions as set forth. *This form and waiver was included within the Faith Formation registration process.
Section 2 *
Nonprescription Medication Permission - By clicking the check box below, I hereby grant permission for nonprescription medication (i.e. ibuprofen, Tylenol, throat lozenges, etc.) to be given to my child.
Section 3 *
Please list any medical information important for the adult in charge to know and/or any changes in this child’s medical condition or emergency contact information since the completion of the Annual Parental/Guardian Consent Form and Liability Waiver. (Archdiocesan Policy 5141 covers the administration of prescription medication; contact the program administrator for additional information.)
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent Email Address *
Your answer
Youth Dietary Restrictions
Your answer
Parents of athletes:
We are aware of a sporting event on Sunday. Please select below what your youth's attendance will be.
Anything else we need to know?
Your answer
We are excited about the growth in your youth’s faith that we think will develop as a result of this experience. Thank you for your interest in helping them pursue their relationship with God.
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