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Lifeteen Fall Retreat

- Lifeteen/Youth Ministry

LifeTeen Fall Retreat
November 2-3 2024
Held at Dry Creek Camp
$60
can be paid under online giving. Select One time offering and select "Lifeteen Retreats/Events" on the drop down menu.
Scholarships are available for those who need financial assistance.

Pack List will be emailed closer to Retreat

Drop off and Pick up will be at Dry Creek Camp, Transportation is not provided.
Documents to Print and Sign!
- Camp Wavier for Canoeing, archery, and low ropes course.
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Gender Male Female
- Address: REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Shirt size
- Any behind the counter medications that will need to be administered? REQUIRED Please fill out this field. Please enter valid data.
- Do we have permission to administer over the counter medications like Tylenol, ibuprofen, pepto, etc to your child if the need arises from minor illness/injury? Please enter valid data.
- Additional we information we should know?
- Parent/Guardian Consent Form & Liability Waiver
  
  MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my child is in good health (Any special health concerns are listed below) and I assume all responsiblity for the health of my child. in the event of an emergency, I hereby give my permission to transport my child to a hosptial 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 numbers listed below, please contact:
- Allergies Please enter valid data.
- Emergency Contact: REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number: REQUIRED Please fill out this field. Please enter valid data.
- Doctor Please enter valid data.
- Family Health Plan Carrier: Please enter valid data.
- Policy Number Please enter valid data.
- I hereby grant my child permission to participate in the Lifeteen Retreat. I agree on behalf of myself and my child, to hold the Diocese of Lake Charles and St. Theodore harmless with respect to any and all actions, claims or demands that may be made against the Diocese of Lake Charles, the parish or chaperones in regard to this event. I also agree to pay any damage(s) done by my child.
  
  I Agree Please select this field.
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Contact Us
- Laura Fisher
  
  Life Teen & Youth Ministry
  
  337-855-4401
  laura.fisherlcdiocese.org
  Facebook

St. Theodore Catholic Church

337-855-6662

Lifeteen Fall Retreat

LifeTeen Fall Retreat

Documents to Print and Sign!

Contact Us