EMMAUS - Saint Patrick Church

EMMAUS
confirmation retreat
Eighth graders! This is it!
The Oneight
Confirmation Retreat
that you won’t want to miss!
12 Noon until about 10 PM,
Saturday, March 21, 2015
And from 9 AM through the conclusion of the
5 PM Life Teen Mass, Sunday, March 22, 2015
Saint Patrick Church - Parish Activity Center
87 Marsh Drive, Carlisle, PA
As outlined in the Oneight program packet, all eighth graders preparing for the Sacrament of Confirmation
are required to attend a retreat. This is your opportunity to get away, to retreat, from your everyday lives
and really experience Christ in a deeper way. This is your chance to come to know Him and His infinite love
for you. Join all of the other candidates as well as the Edge and Oneight CORE for this two-day journey to a
deeper relationship with the God who loves you.
Check-in for the retreat will be from 11:30 AM until noon outside of the PAC gym. The retreat will start
promptly at noon. Be sure to have eaten something before you come, as dinner will be your first meal,
served around 5 PM. Following dinner, we’ll meet again for a full evening of sessions and activities,
concluding at approximately 10 PM. All teens need to return to the center by 9 AM on Sunday for the first
session. Lunch will be provided on Sunday. We have a full day of sessions scheduled for Sunday, before we
conclude with the Life Teen Mass. Note that the Mass will include the Rite of Sending for all candidates, and
that all Confirmation sponsors and parents are encouraged to attend. Teens will be free to leave, following
the conclusion of Mass.
As for how to prepare for the weekend, please bring the following: a sweatshirt or sweater (in case the room
temperatures are cool); comfortable but modest clothing; your Bible; an open heart and mind. Please do not
bring the following: cell phone; electronic devices (MP3 players, IPods, video games, etc.) etc.. The idea is
to get away from the distractions of everyday life, and the things that would keep us from focusing our
attention on God.
The cost for this retreat is $30. If the fee is a problem for you, please do not hesitate to contact me for
assistance.
If you have any questions, please do not hesitate to contact me at 243-4411 x1116 (office) or at 713-8772
(mobile).
We sincerely look forward to joining you on the road to Emmaus, where we’ll all encounter Christ!
Please complete the attached Registration Form AND Parental Permission And Consent To Treat Form, and
return them AND your $30 fee to Joe Goodman at the Edge or by mail:
Joe Goodman,
Saint Patrick Church
152 East Pomfret Street
Carlisle, PA 17013.
The deadline for forms and payment is February 11, 2015.
EMMAUS confirmation retreat -
Registration Form
Name __________________________________________________________________ Sex ______________
Address ___________________________________________________ Town__________________________
Zip Code _________________________ Telephone(s) _____________________________________________
Email ________________________________________T-shirt size (Men’s sizes only)____________________
Amount Enclosed ____________________________ (Retreat cost is $30 - checks payable to Saint Patrick Church)
Please be sure to submit Registration Form, Parental Permission And Consent To Treat Form, AND
$30 payment to
Joseph Goodman, Saint Patrick Church, 152 East Pomfret Street, Carlisle, PA 17013, or at the Edge on
Wednesday nights — no later than February 11, 2015
Parents, Would You Be Willing To Serve A Meal?
As noted, the retreat will take place at the Saint Patrick Church - Parish Activity Center. We will be feeding
the retreat participants both dinner Saturday evening, and lunch on Sunday.
We are looking for parents to assist with serving these meals. Dinner will be served at 5 PM on Saturday
(although because we’ll need volunteers to set up and clean up,
the shift would be from 4:30 PM until about 6:30 PM).
Likewise, lunch will be served at 12 Noon on Sunday
(the shift would be from 11:30 AM until about 1:30 PM).
If you would be willing to assist us in this, please provide the requested information below.
Yes, I’m interested in helping serve the teens!
Name ____________________________________________________________________________________
Telephone ________________________________________________________________________________
Email ____________________________________________________________________________________
I am willing to serve: Saturday dinner ______
Sunday lunch ______
DIOCESE OF HARRISBURG
OFFICE FOR YOUTH AND YOUNG ADULT MINISTRY
Saint Patrick Church - Carlisle, PA
PARENTAL PERMISSION AND CONSENT TO TREAT FORM
Participant's Name: ______________________________________________________Birth date: _________________
Participant’s Address: ______________________________________________________________________________
_________________________________________________________________________________________________
Parent/Guardian’s Name: ___________________________________________________________________________
E-Mail Address: ___________________________________________________________________________________
Home Address: (if different from above) ____________________________________________________________________
_________________________________________________________________________________________________
Home Phone: ___________________________________Work Phone: _______________________________________
I, __________________________________________, grant permission for _________________________________________________
(Name of child)
(Name of parent or guardian)
to participate in the following event:
Emmaus Retreat – March 21 and 22, 2015
Saint Patrick Church – Parish Activity Center, Carlisle, PA
I understand that the program will have competent adult supervision and reasonable and appropriate measures will be made to minimize the risk of
injury and/or accident. I understand and have been informed that taking part in this youth event involves the risk of injury. I hereby grant my consent
for staff members and/or adult volunteers under whose auspices the program is conducted, to secure all necessary emergency medical care and/or
treatment that may be necessary for my child during the entire event including any necessary transportation, if provided by a staff member or adult
volunteer. I release and hold harmless any said staff member or adult volunteer from any liability, who in good faith is placed in a position requiring
decisions to be made for emergency care or medical treatment of the above-named young person. In case of accident, injury or loss, neither my
family nor I will hold the diocese, the parish, nor any person or affiliate organization associated with the event, responsible or liable.
In the event of an emergency, if you are unable to reach me at the above number, contact:
Name and Relationship: ____________________________________________________________________________
Phone: ______________________________________ Additional Phones: _______________________________________
Please complete both sides
Family Physician: _______________________________________________ Phone: ____________________________
Allergic reactions (medications, foods, insects, etc):_______________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Medication(s) currently being taken: ________________________________________________________________
________________________________________________________________________________________________
Child/Youth will have medication with him/her: _____ yes
_____ no
My child has special medical/mental conditions: Yes___ No ___ (if yes, please describe)
Insurance Company: ______________________________________Policy Number:__________________________________
Parents/guardians of participants are advised that photograph or videotape of participants may be used in publications, websites or other materials
produced from time to time by the Office for Youth and Young Adult Ministry or the Diocese of Harrisburg or St. Patrick Church, Carlisle.
(Participants would not be identified, however, without specific written consent.) Parents/guardians who do not wish their child(ren) to be
photographed or filmed should so notify the Office in writing. Please note that the Office has no control over the use of photographs or film taken by
media that may be covering the event in which your child(ren) participate(s).
_________________________________________________
Parent/Guardian/Chaperone Signature
___________________________
Date