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KLS Retreat Registration

- Events/Activities
Documents
- Youth Code of Conduct & Guidlines
NON - c.T. MEMBERS

You will have access to all e-learning platforms (Catholic Brain, FORMED and CI Steubenville) for one year at no cost to you if so desire. After a year, you are welcome to renew Covenant Teen at no cost to you.

You will also receive information via flocknote with updates but you will be able to cancel at any time AFTER the retreat.

Please register below to attend the Know, Love & Serve Retreat

Please make check payble to Covenant Teen and mail to:
Covenant Teen
P.O. Box 32762
Amarillo, Texas 79107

You are welcome to pay Online or Venmo but know that there is an approximately 3% charge by the payment platform. Online cost: $38.00 (note add: KLS Retreat on payment memo)
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- Youth Participant
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Mailing 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.
- Youth Email (not parent/guardian) Please enter an email address.
- Youth Cell Number (not parent/guardian) Maximum 20 characters Please enter a phone number.
- Parish REQUIRED Please fill out this field. Please enter valid data.
- Youth Birth Date REQUIRED Please fill out this field. Please enter a date.
- Shirt size (Adult size)
- Parent/Guardian Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Cell Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Home Number Maximum 20 characters Please enter a phone number.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- This activity will take place under the guidance and direction of parish employees and/or volunteers and Covenant Teen Retreat Team.
  
  As parent/legal guardian, I remain legally responsible for any personal actions taken by my son/daughter named above. I agree on behalf of myself, my son/daughter named herein, our heirs, successors, and assigns to hold harmless, host parish and the Covenant Teen Retreat Team from
  the Diocese of Amarillo, host (Arch)Diocese, their officers, directors, and agents from any liability for illness, injury or death arising from or in connection with my son's/daughter's attending the above-named event. I agree to compensate the above-named parish, Diocese, their officers, directors and agents, and/or representatives associated with the event for reasonable attorney's fees and expenses arising in connection therewith.
  I/We likewise release from liability any person(s), airline, bus company, or other transportation service, transporting my child, in a privately owned and/or leased vehicle, to and from any activities connected with the above named event(s), with the exception of gross negligence due either fully, or in part, to mechanical failure and/or operator error.
  Additionally, I/We give permission for my/our son/daughter/guardianship to be photographed during activities associated with the above-mentioned event. I/we understand that said photos/videos may be used for future publicity within the parish, (Arch) Diocese, and or Catholic Church.
  
  As a participant, I agree and covenant to follow all rules of conduct established for participation in this event. I understand that any serious infraction of these rules will result in my parent/guardian being notified and being asked to leave the Diocesan Activity at my or own expense. Basic rules/expectations include, but are not limited to, the following:
  
  Respect for all adults leaders, peers, and all property; NO illegal drugs, alcohol, underage smoking, firearms, explosives, or illegal substances; Male and females are to remain in separate sleeping spaces at all times; No inappropriate physical/sexual activity; Appropriate attire is to be worn at all times. Other guidelines may be set forth accordingly by adult chaperones present for the event(s). On any trip, bags are subject to search at the discretion of the youth minister and/or Diocesan Youth Director and consent is given by the youth and parents/guardians for the search.
  To the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. In the event of an emergency, I give permission to transport my child to a hospital for emergency treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
  
  I hereby grant permission for non-prescription medicine (such as cough drops, cough syrup, Tylenol, etc.) to be given to my child as necessary. I understand that aspirin will not be given to my child.
  
  I understan that it is my duty to give in writing any medications, allergies that my son/daughter needs during the participation at this event to appropriate staff. My Son/Daughter will bring all medication with him/her and it will be clealy labeled including dosage, frequency and storage.
  
  I also agree to abide by any/all policies and rules established for this even/activity by the host parish and Youth Code of Conduct & Guidlines (see link download - left side of web page).
  
  I Agree Please select this field.
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KLS Retreat Registration

This activity will take place under the guidance and direction of parish employees and/or volunteers and Covenant Teen Retreat Team.

As parent/legal guardian, I remain legally responsible for any personal actions taken by my son/daughter named above. I agree on behalf of myself, my son/daughter named herein, our heirs, successors, and assigns to hold harmless, host parish and the Covenant Teen Retreat Team from