Winter Xtreme '18 HS

---

HS: Winter Xtreme Retreat

2019 Camp Timber-Lee

Diocese of Joliet

Youth Permission

GENERAL PERMISSION FORM I request that my child, , be allowed to participate in the ___________________________ Winter Xtreme 2019 Camp Timber-Lee event, located at ___________________________ on the following day(s): from ________________ Sun. March 3 Fri. March 1 to __________________. Transportation is by_____________. Prov Bus Transp I hereby release and indemnify St Jude, NL , its staff, volunteers, and the Diocese of my parish, ____________ Joliet from any and all liability arising from claims of any kind or nature whatsoever from my child's participation in this event. Videotaping and Still Photographs Video and still photographs may be taken during this event. This authorization form constitutes permission for my child's participation in the videotape and/or still photographs, which may be used for future promotional efforts, including the Diocese of Joliet website. Code of Behavior You are representing Youth Ministry in our diocese during this event and we expect you will represent us well. We expect that you will display mature and responsible behavior, which for many years has been the trademark of Catholic youth and adults of our diocese. Some Expectations: 1. All participants are expected to arrive on time. 2. All participants are expected to demonstrate common courtesy and respect at all times. Inappropriate language/behavior will not be tolerated. 3. Socializing should always be done in public areas. 4. Dress should reflect the value of modesty. Writing on clothing should reflect Christian values. 5. The possession or consumption of any alcoholic beverage and/or possession/use of any illegal drug is not permitted. 6. Smoking is not permitted. 7. Weapons and/or drug paraphernalia are not allowed. 8. If under the age of 18, prescription drugs need to be given to an adult from your parish for storage and distribution. 9. Infraction of these rules can mean immediate dismissal with no refund. Participants will be responsible to local authorities. I understand and agree to this Code of Behavior. I also understand and agree that at the time of an infraction requiring my dismissal, I am responsible for my removal from the premises and any costs involved. If under the age of 18, I also understand and agree that my parents or guardian will be notified at the time of an infraction requiring my dismissal. My parents or guardian will be responsible for my removal from the premises and any costs involved.

MEDICAL PERMISSION FORM I grant permission for the administration of First Aid to my child, , by the people in charge of the _____________________________________ event, Winter Xtreme 2019 and those transporting my child to and from the event as their judgment deems advisable, and to make the necessary referrals to qualified physicians for the treatment of illness or accidents of a more serious nature. I understand I will be promptly notified in the event of any serious illness or accident and prior to any major surgery, except when delay in such communication would endanger life. In the case of a medical emergency, I understand that every effort will be made to contact the parent/guardian of the participant. In the event that I cannot be reached, I hereby give permission to the physicians selected by the adult staff to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery if deemed necessary for my child. Participant’s Name: Birth Date: Parent’s Name(s): Parent’s Phone #(s): Allergic to medication/other? NO YES, If YES, please describe:__________________________________________ Medication(s) presently taking: INSURANCE INFORMATION Policy in the name of: Insurance Company: Policy Number: Authorized Physician: Phone #: If parent(s) can’t be reached In case of Emergency, contact ___________________________ Phone #’s:____________________________________________

The parties agree that this document may be electronically signed and that the electronic signature appearing on this document are the same as handwritten signatures for the purpose of validity, enforceability and admissibility.

Teen Signature:

Date

Parent Signature:

Date

Electronic transmission is not encrypted, so if you are concerned about the security of your sensitive information, the form should be printed and surface mailed or otherwise hand-delivered. The Winter Xtreme retreat has a $168 fee that covers transportation/all meals (but one meal on the road to Timber-lee) / lodging / and retreat activities.

HIGH SCHOOL

MARCH 1ST-3RD

WINTER XTREME

Winter Xtreme is the “No Holds Barred Fun” and IMPACTING retreat EVENT of the season! This is a great opportunity for our teens to get excited about their faith life! If you can only make one retreat this year, make it this one! Winter Xtreme March 1-3 is a 3 day experience that has a $168 fee that covers transportation/meals*/lodging/and retreat activities.

“What to prepare” on next page.

★ CHAPEL ★ ANIMAL NATURE CENTER ★ AWESOME BAND ★ NIGHT ZIP LINE ★ SNOW TUBING ★ TOBOGGANING ★ BROOM BALL ★ GAME ROOM ★ X COUNTRY SKIING ★ HORSEBACK RIDES

…in me, and I in you. As the branch cannot bear fruit by itself, unless it abides in the vine, neither can you, unless you abide in me.

★ SNOWSHOEING

…is the theme of Winter Xtreme 2019. This weekend is for you!

This winter weekend retreat is ★ KARAOKE the perfect time to refocus and ★ LEATHER SHOP get strong! From the fun of ★ FOOD, LOTS OF tossing snowballs and relaxed FOOD! conversations at the fireplace, ★ CLOSING POTLUCK and visits to the nature center DINNER AND MASS to the intense challenge AT SAINT JUDE activities and big group worship FAMILIES ARE sessions, all these times INVITED TO ATTEND together offer teens a chance *All Activities with the to touch base with God in an exception of Leathershop awesome environment! Projects, Trailrides, and Zipline. Zipline is $10 and Trailrides are $15.

Saint Jude’s Retreat to Camp Timber-leE

WINTER XTREME N8705 Scout Rd, East Troy, WI 53120, (262) 642-7345 Youth Minister Matthew Krumdrick, Cell # 630-730-1368

REMAIN: …in me, and I in you. As the branch cannot bear fruit by itself, unless it abides in the vine, neither can you, unless you abide in me.

TIME LINE

Friday 3:45 Gather in the St. Jude’s West Side Parking lot 4:00 Departure Sunday 4:30 Arrive back at St Jude. Closing potluck dinner with families * All families will be contacted for further direction/instruction on what to brings 6:30 MASS * 7:30 PM Pick-up from the St. Jude’s West Side Parking lot SPEAKER/PRESENTERS

Our Weekend Chapel led by Josh Petersen & worship led by Arbor Vitae Christians can indeed look ahead to being raised physically, our soul has been recovered from death and our lives should reflect this. Timber-lees youth programming is all about young people learning the importance of having their faith clearly show up in their daily life. We desire that students go home from winterXtreme confident and continually allowing The Holy Spirit to form them into better Christ followers.

Stuff To Bring Bible, notebook, and pen

Sleeping bag and pillow

♨ Warm clothes ❄ ☃ ❄ ☃ ❄ ☃ Long underwear and a heavy jacket

2 pair of shoes and extra socks

Winter hat and warm, dry gloves

Boots and snow pants

Clothes that can get wet and dirty

Sunglasses

Bath towel and washcloth

Toiletries

Flashlight

Extra $ (for gift shop & •1 meal)

Camera

Leave This Stuff Behind

Media players

Cell phones (this is a family call, but we don’t want anything to happen to expensive electronics & don’t want them to serve as distractions to the retreat itself or take away from building relationships during the weekend - they will be held by the chaperones if parents feel they should be brought.)

-Participants will have access chaperone’s phones to call parents. Laptops

Handheld video games

Valuable jewelry or other expensive items

Tobacco products, Illegal drugs or alcohol

Shaving cream (other than for shaving)

Silly string and fireworks