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Welcome
New to the Parish
New Parishioner Registration
Our Patron Saint
Directions
Campus Map
Who We Are
Parish History
Staff Directory
Contact Us
Events & News
Events
Parish News
The Bulletin
Open Carry Policy
Facility Access Policy
Support
Online Giving
Planned Giving
Communications
Discernment Resources
Gift Shop
Prayer & Liturgy
Schedules
Mass Times
Confession Times
Adoration Schedule
Ministers' Scheduling Tool
Funerals
Funeral Information
Cremation & The Columbarium
Weddings
Wedding Information
Wedding Music
Liturgical Ministries
Altar Servers
Art & Environment
Hospitality Ministry
Lectors
Linen Care
Extraordinary Ministers of Holy Communion
Extraordinary Ministers of Holy Communion to the Homebound
Music Ministry
Prayer Opportunities
Prayer Ministries
Eucharistic Adoration
Evening Prayer
Prayer Blanket
Prayer Line
Rosary
Retreat Centers
Cedarbrake Catholic Retreat Center
Eagle's Wings Retreat Center
Together Encounter Christ (TEC)
Homilies
Sacraments
Baptism
Reconciliation
Eucharist
Confirmation
Marriage
Holy Orders
Anointing of the Sick
Faith Formation
Children/Youth Formation
General Information
Elementary Faith Formation
Middle School Faith Formation
Life Teen (High School)
Teen Confirmation
Faith Formation Registration
Vacation Bible School
Adult Faith Formation
Becoming Catholic
Upcoming Opportunities
Sunday Bible Study
Walking with Purpose
Order of Christian Initiation for Adults
Parish Mission
Theresians
Catholic Schools
Holy Family Catholic School
St. Dominic Savio Catholic High School
FORMED
Parish Library
Book Discussions
Ministries
Marriage & Family Life
Marriage & Family Life Info
Called to be Mom (CTBM)
Catholic Single Parents
Childcare Center
Marriage Preparation
L.O.V.E. Marriage Couples Ministry
Worldwide Marriage Encounter
Marriage & Family Life Resources
Pastoral Care
Cancer Support Group
Columbarium
Good Samaritan Meal Ministry
Grief & Loss Support Group
Helpers in Need
Project Rachel
Respect Life
Senior Care Ministries
Stephen Ministry
Walking with Moms in Need
Social Outreach
Social Outreach Ministries
Advent Giving Tree
All Parish Service Day
Blood Drive
Creation Care Team
CRS Rice Bowl
Drive a Senior Northwest
Habitat for Humanity
Mobile Loaves & Fishes
Social Justice Ministry
Society of St. Vincent de Paul
Volunteer Opportunities
Community
Coffee & Donuts
For Men
Scouts
Young at Heart
Councils
Pastoral Advisory Council
Finance Council
Resources
Ethics & Integrity in Ministry (EIM)
Ministry Toolbox
Preschool
About Us
Programs
Staff
Registration/Parent Handbook
Calendar
Tuition
Contact
Preschool Pictures
My STM Hub
My Groups
My Household
My Invoices
My Statements
My Subscriptions
Life Teen Summer Camp
Faith Formation Home
Catechesis of the Good Shepherd
Elementary Faith Formation
Middle School Faith Formation
Life Teen (High School)
Life Teen Summer Camp
Teen Confirmation
Vacation Bible School
Life Teen Summer Camp
The maximum number of form submissions has been reached. This form is currently not available.
Consent to Participate, Emergency Medical Information and Release
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Participant's T-shirt size
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Adult Small
Adult Medium
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Parent/Guardian Name(s)
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Date
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Event:
Life Teen Summer Camp (Camp)
Location: Eagle's Wings Retreat Center, Burnet, TX
Cost:
$620, deposit of $100 to save your spot
Parish:
St. Thomas More Catholic Church, located in Austin, Texas, a Texas non-profit corporation, including its employees, contractors, clergy, agents, facilitators, and volunteers.
Diocese:
The Catholic Diocese of Austin, a Texas non-profit corporation, including its employees, contractors, clergy, agents, facilitators, and volunteers.
Transportation Provider
: Personal vehicles
A. Parent(s) listed above is/are parents or legal guardians of Participant and have full authority under law to agree to the terms of this document.
B. Parents grant their permission for Participant to enroll and participate in this Camp
C. Parents acknowledge and agree that:
Parents and Participant voluntarily seek to participate in this Camp;
The retreat may involve physical activity that involves risk of injury;
Participant and Parents will abide by all policies and rules established for the Camp and instructions of those people facilitating, organizing, or overseeing the Camp;
Parents and Participant are responsible for Participant's conduct during the Camp and are responsible for any damages, claims, or other costs caused by Participant or incurred as a result of Participant's conduct; and
If Participant's conduct is inappropriate, unsafe, or detrimental to the Camp, other Participants or other people, the Parish or the Diocese may terminate Participant's participation in the Camp and future events.
D. In the event of an emergency or a situation that is reasonably considered to be an emergency, Parent/guardian authorizes the Parish and the Diocese to seek and authorize emergency medical care to be given to Participant (for example, First Aid, medication, anesthesia, or surgery). The Parish will make reasonable attempts to notify Parents prior to authorizing any such emergency care.
E. Parent/guardian grants the parish and the diocese permission:
To photograph and videotape Participant during the Camp; and
to use the photographs and videos in publications and promotions of the parish and the Diocese, including but not limited to publications such as websites, newsletters, advertisements, scrapbooks, and yearbooks.
F. To the extent permitted by law, Parents, for themselves and for Participant, releases and agrees to indemnify and hold harmless the Parish, the Diocese, and the Transportation Provider from any and all liability, claims, demands, and costs which may arise as a result of Participant's participation in the Camp or which is, in any way, related to such participation. This paragraph covers loss under any theory of loss (negligence or otherwise) including but not limited to personal injury or property damage. Parents and Participant assume all risk of injury or loss to themselves or their property.
Please provide the following information:
Emergency Contact1 Name
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Emergency Contact1 Phone:
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Emergency Contact2 Name
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Emergency Contact2 phone
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Participant Insurance Carrier (if no insurance, put NONE)
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Insurance ID Number (if no insurance, put NONE)
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Insurance Group Number
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Insurance Phone #
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Address of Insurance Company:
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Participant has the following conditions (Allergies, medical conditions, etc.):
Participant is currently taking the following medication:
By checking the
I Agree
box, I agree to the above-mentioned policies, rules, and expectations of the Life Teen Summer Camp.
I Agree
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Parent email address for auto-reply
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Payment
REQUIRED
100.0
– Deposit only
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