2019 ECHO Chicago Adult/Young Adult Application Form
This is the electronic application form for Young Adults applying to attend the Echo Chicago 2019. The Young Adult applicant will also need to turn in the Safe Environment Acknowledgement Form along with the Registration Form (which can be downloaded and printed from www.RespectLifeChicago.org). All the payments required can be paid either with a credit card www.respectlifechicago.org or mailing in a check. Please contact rpingoy@archchicago.org or call 312.534.5355 for more information.
Echo Chicago 2019
First Name *
Your answer
Last Name *
Your answer
Male or Female *
Age? *
Your answer
Email *
Your answer
Address *
Your answer
Mobile Phone Number (xxx-xxx-xxxx) *
Your answer
Diocese *
Your answer
Church Parish *
Your answer
Shirt Size *
ECHO is an immersive experience into the depths of our identity as men and women through the lens of St. John Paul II's Theology of the Body. We explore themes of sexuality, vocation, prayer, and relationships. We want to make sure you want to dive in! Please tell us in 100-200 words why you want to attend Echo. *
Your answer
I am applying as an Adult or a Young Adult to join the Echo Chicago Camp for... *
SAFE ENVIRONMENT ACKNOWLEDGEMENT: If you plan to serve during the Teen portion of the Echo Camp, be sure you have completed your Safe Environment Acknowledgement Form
This form can be downloaded through our website at www.RespectLifeChicago.org. This form needs to be filled out through your local school or parish.
There may be a representative from Protecting God's Children Department that can give a Virtus Training on Saturday, June 15, 2019. Would you be interested in joining an afternoon session? (This has not yet been confirmed. More details to come if you are interested.) *
If you are an Adult or a Young Adult that will stay to serve during the Teen portion that starts on Monday, June 17, 2019. Please pray and discern on what team you may want to be part of.
Indicate below the team you feel most drawn to. And at the same time, be open to being placed where you may be needed most.
Adults and Young Adults have the unique opportunity to journey together over the weekend and then give away what they have received when the teens arrive by serving on Hospitality Team, Prayer Team, or Mentor Team.
Mentors lead a small group during the retreat and help teens unpack and process what they are learning and their overall camp experience. Hospitality team labors to create the different spaces for camp activities throughout the day. They are vital in their service to the success of the camp. They need to be able to work well on a team, receive direction, and have a gift for welcoming and service. Prayer team is the backbone of prayer for the entire camp. The majority of this team's time is spent in prayer, interceding for the teens and young adults throughout each day while journeying together as a team. In order to discern our service teams for this year, please answer the following questions. Please note that we cannot guarantee you will be placed on a particular team.
What are some of your particular gifts and talents? *
Your answer
What would you consider are some of your greatest strengths when it comes to serving others? *
Your answer
What are some of your particular weaknesses when it comes to serving others? *
Your answer
Based on the descriptions of the teams above, what team do you believe you would serve best on? *
What would your second choice be? *
I will be 18 years or older at the time of Echo Chicago. Therefore, I understand that I must submit proof of Safe Environment Acknowledgement Form Certification through my home parish by Friday, May 31st, 2019. *
Is this your first Echo as a Young Adult? *
Have you attended Echo as a Teen? *
Have you been out of High School for at least 1 year? *
While we cannot guarantee roommate requests, they are taken in to consideration when assigning housing. I would like to request the following person as my roommate (first and last name)
Your answer
MEDICAL INFORMATION
Main Emergency Contact Name (first and last name) *
Your answer
Main Emergency Contact relationship to participant: *
Your answer
Main Emergency Contact Phone Number (xxx-xxx-xxxx) *
Your answer
Family Doctor *
Your answer
Doctor's Phone Number (xxx-xxx-xxxx) *
Your answer
Family Health Care Carrier *
Your answer
Health Care Policy Number *
Your answer
I will have a copy of my Insurance Card during the Echo Camp *
Allergic Reactions (medications, plants, insects, etc.) *
Your answer
Food Allergies & Dietary Restrictions *
Your answer
Any physical limitations?
Your answer
Have you recently been exposed to contagious diseases or conditions, such as mumps, measles, chickenpox, etc? *
TRAVEL INFORMATION:
Please note that we are not able to accommodate those needing housing before or after the start of the Echo Chicago Camp
Mode of Transportation to Echo Chicago 2019? *
SHUTTLE RESERVATIONS
We offer round trip and one-way options. Unfortunately, we can only accommodate those flying to Midway International Airport (MDW). Depending on your need, the appropriate fee will be added to your registration balance. At this time, we are only able to offer the shuttle at the days and times listed below. We apologize for any inconvenience this may cause. One-Way Shuttle to or from Midway International Airport (MDW): $15.00. Round-Trip Shuttle to AND from Midway International Airport (MDW): $25.00. Shuttle to/from Midway International Airport (MDW) fees will be due upon your arrival to camp.
Please save me a space on the arrival shuttle on Friday, June 14, 2019 *
I will need a shuttle for my return flight on Sunday, June 16, 2019 *
I will need a shuttle for my return flight on Monday, June 17, 2019 *
I will need a shuttle for my return flight on Thursday, June 20, 2019 *
Please make your flight arrive and depart from MDW (Midway International Airport) only. ARRIVING FLIGHT: Please arrive into at the airport before 1pm on Friday, June 14, 2019. DEPARTING FLIGHTS: Please have your departure flight from airport NO EARLIER than 9:00pm on Sunday, June 16, 2019. And if you plan to leave on Monday, June 17, 2019, please have your departure flight from MDW NO EARLIER than 3:00pm. If you are staying for the week, please have your flight departure time NO EARLIER than 6:00pm on Thursday, June 20, 2019. We will contact you with more details closer to the Echo Camp date. If you have any special needs, please do let us know and we will try our very best to accommodate those needs.
Your answer
Please be sure to fill out the Paper Registration Form and sign all the needed waivers and agreements. If you are 18 years and older, please fill out and sign the Safe Environment Acknowledgement Form. How should we expect all of your forms to be submitted? *
Please expect my payment of the Early Bird Price of $349.00 or Regular Price of $399.00 after March 22, 2019 (not including the possible shuttle bus fee) through... *
There will be a $25.00 fee for the linens provided by Saint Xavier University. (Included in the linen package are: mattress cover, linen blanket, pillow, pillow case, and a set of towels) *
Comments
Your answer
Congratulations! You have completed the Application Form. BUT you are not done yet! Please send in your Registration Form and Safe Environment Form (if needed) and make sure to pay your registration fee to complete the registration process.
This application form will be removed from our list if your Registration Form and Payment have not been turned in at least one week after submitting this application form. If you have further questions, please email rpingoy@archchicago.org or call our office at 312-534-5355.
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