Teen Week 2025 &lt;br&gt;Registration

FAMILY INFORMATION

PARENT
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mobile Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
We need your help! Would you like to attend this event as a volunteer? Yes No

EMERGENCY CONTACT (not a parent)

In the event of an emergency, evey effort is made to contact parents first.
If a parent cannot be reached, whom should we contact?
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Relation to Child REQUIRED Please fill out this field. Please enter valid data.
Cell Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

PARTICIPANT INFORMATION

Number of teens/tweens registering for Teen Week REQUIRED Please fill out this field.
Participating Teen 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's Grade (as of Fall, 2025) REQUIRED Please fill out this field.
- ALLERGIES & DIETARY RESTRICTIONS
- Does your student have allergies? REQUIRED Please fill out this field.
- Please list any medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
- Please list any allergies/dietary restrictions. Please enter valid data.
- MEDIA RELEASE
  On occasion, St. Alphonsus Liguori Catholic Church takes photographs or makes an audio or video recording of children and/or adults involved in parish activities. Images may be used on parish print, electronic, and social media platforms.
  
  I expressly grant to St. Alphonsus Liguori Catholic Church the right, privilege and license to use the picture or likeness of my child/children in any photograph, movie, video production or any other forms of media publication and to use the verbal or written statements or declarations of my child/children for the purpose of publicizing, fostering and promoting the parish and its programs.
- Please answer according to the publicity statement above: REQUIRED Yes No Please fill out this field.
- LIABILITY RELEASE
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Diocese of Lafayette-in-Indiana, its officers, directors, employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese of Lafayette-in-Indiana, its officers, directors, its employees and agents, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese of Lafayette-in-Indiana.
- Please answer according to the liability statement above: REQUIRED Yes No Please fill out this field.
Participating Teen 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's Grade (as of Fall, 2025) REQUIRED Please fill out this field.
- ALLERGIES & DIETARY RESTRICTIONS
- Does your student have allergies? REQUIRED Please fill out this field.
- Please list any medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
- Please list any allergies/dietary restrictions. Please enter valid data.
- MEDIA RELEASE
  On occasion, St. Alphonsus Liguori Catholic Church takes photographs or makes an audio or video recording of children and/or adults involved in parish activities. Images may be used on parish print, electronic, and social media platforms.
  
  I expressly grant to St. Alphonsus Liguori Catholic Church the right, privilege and license to use the picture or likeness of my child/children in any photograph, movie, video production or any other forms of media publication and to use the verbal or written statements or declarations of my child/children for the purpose of publicizing, fostering and promoting the parish and its programs.
- Please answer according to the publicity statement above: REQUIRED Yes No Please fill out this field.
- LIABILITY RELEASE
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Diocese of Lafayette-in-Indiana, its officers, directors, employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese of Lafayette-in-Indiana, its officers, directors, its employees and agents, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese of Lafayette-in-Indiana.
- Please answer according to the liability statement above: REQUIRED Yes No Please fill out this field.
Participating Teen 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's Grade (as of Fall, 2025) REQUIRED Please fill out this field.
- ALLERGIES & DIETARY RESTRICTIONS
- Does your student have allergies? REQUIRED Please fill out this field.
- Please list any medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
- Please list any allergies/dietary restrictions. Please enter valid data.
- MEDIA RELEASE
  On occasion, St. Alphonsus Liguori Catholic Church takes photographs or makes an audio or video recording of children and/or adults involved in parish activities. Images may be used on parish print, electronic, and social media platforms.
  
  I expressly grant to St. Alphonsus Liguori Catholic Church the right, privilege and license to use the picture or likeness of my child/children in any photograph, movie, video production or any other forms of media publication and to use the verbal or written statements or declarations of my child/children for the purpose of publicizing, fostering and promoting the parish and its programs.
- Please answer according to the publicity statement above: REQUIRED Yes No Please fill out this field.
- LIABILITY RELEASE
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Diocese of Lafayette-in-Indiana, its officers, directors, employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese of Lafayette-in-Indiana, its officers, directors, its employees and agents, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese of Lafayette-in-Indiana.
- Please answer according to the liability statement above: REQUIRED Yes No Please fill out this field.
Participating Teen 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's Grade (as of Fall, 2025) REQUIRED Please fill out this field.
- ALLERGIES & DIETARY RESTRICTIONS
- Does your student have allergies? REQUIRED Please fill out this field.
- Please list any medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
- Please list any allergies/dietary restrictions. Please enter valid data.
- MEDIA RELEASE
  On occasion, St. Alphonsus Liguori Catholic Church takes photographs or makes an audio or video recording of children and/or adults involved in parish activities. Images may be used on parish print, electronic, and social media platforms.
  
  I expressly grant to St. Alphonsus Liguori Catholic Church the right, privilege and license to use the picture or likeness of my child/children in any photograph, movie, video production or any other forms of media publication and to use the verbal or written statements or declarations of my child/children for the purpose of publicizing, fostering and promoting the parish and its programs.
- Please answer according to the publicity statement above: REQUIRED Yes No Please fill out this field.
- LIABILITY RELEASE
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Diocese of Lafayette-in-Indiana, its officers, directors, employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese of Lafayette-in-Indiana, its officers, directors, its employees and agents, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese of Lafayette-in-Indiana.
- Please answer according to the liability statement above: REQUIRED Yes No Please fill out this field.
Participating Teen 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Teen's Grade (as of Fall, 2025) REQUIRED Please fill out this field.
- ALLERGIES & DIETARY RESTRICTIONS
- Does your student have allergies? REQUIRED Please fill out this field.
- Please list any medical concerns that would help us minister to your teen, such as anxiety, asthma, diabetes, etc. Please enter valid data.
- Please list any allergies/dietary restrictions. Please enter valid data.
- MEDIA RELEASE
  On occasion, St. Alphonsus Liguori Catholic Church takes photographs or makes an audio or video recording of children and/or adults involved in parish activities. Images may be used on parish print, electronic, and social media platforms.
  
  I expressly grant to St. Alphonsus Liguori Catholic Church the right, privilege and license to use the picture or likeness of my child/children in any photograph, movie, video production or any other forms of media publication and to use the verbal or written statements or declarations of my child/children for the purpose of publicizing, fostering and promoting the parish and its programs.
- Please answer according to the publicity statement above: REQUIRED Yes No Please fill out this field.
- LIABILITY RELEASE
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Diocese of Lafayette-in-Indiana, its officers, directors, employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese of Lafayette-in-Indiana, its officers, directors, its employees and agents, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the Diocese of Lafayette-in-Indiana.
- Please answer according to the liability statement above: REQUIRED Yes No Please fill out this field.

Registration Form Consent - Parent/Guardian First and Last Name REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

PAYMENT INFORMATION

Cost to Attend Teen Week40.0

Sibling Discount Eligibility 1 additional sibling 2 or more additional siblings

Adventure Day Add On

Finances should never be the reason a teen does not attend an event. If you need financial assistance, please email [email protected].

Please click below to continue the registration process and complete payment.

Teen Week 2025
Registration

REGISTER BY MAY 25

MEDIA RELEASE

MEDIA RELEASE

MEDIA RELEASE

MEDIA RELEASE

MEDIA RELEASE

Finances should never be the reason a teen does not attend an event. If you need financial assistance, please email [email protected].

Please click below to continue the registration process and complete payment.

Details

Teen Week 2025 – An awesome evening retreat week for Middle Schoolers led by High Schoolers!

Your middle school teen/tween is invited to join us for our second annual Teen Week this summer from Sunday, June 1 through Wednesday, June 4, from 6-8 pm (with an optional adventure day at Adrenaline Family Adventure Park on Thursday, June 5)!

TEEN WEEK

Who: Teens & Tweens (grades 5, 6, 7, 8)
Where: St. Alphonsus Campus (Mary Garden)
Date: June 1 - 4
Time: 6p - 8p
Cost: $40 per Person (sibling discount available)

ADVENTURE DAY

Who: Teens & Tweens (grades 5, 6, 7, 8)
Where: Adrenaline Family Adventure Park
10080 E. 121st Street, Suite 182
Fishers, IN 46037
Date: June 5
Time: 9:15a - 2:30p
Cost: $35 per Person (sibling discount available)

Contact Us with Any Concerns

Teen Week 2025 Registration

MEDIA RELEASE

MEDIA RELEASE

MEDIA RELEASE

MEDIA RELEASE

MEDIA RELEASE

Finances should never be the reason a teen does not attend an event. If you need financial assistance, please email [email protected].Please click below to continue the registration process and complete payment.

Teen Week 2025 – An awesome evening retreat week for Middle Schoolers led by High Schoolers!

Your middle school teen/tween is invited to join us for our second annual Teen Week this summer from Sunday, June 1 through Wednesday, June 4, from 6-8 pm (with an optional adventure day at Adrenaline Family Adventure Park on Thursday, June 5)!

TEEN WEEK

Who: Teens & Tweens (grades 5, 6, 7, 8)Where: St. Alphonsus Campus (Mary Garden)Date: June 1 - 4Time: 6p - 8pCost: $40 per Person (sibling discount available)

ADVENTURE DAY

Who: Teens & Tweens (grades 5, 6, 7, 8)Where: Adrenaline Family Adventure Park 10080 E. 121st Street, Suite 182 Fishers, IN 46037Date: June 5Time: 9:15a - 2:30pCost: $35 per Person (sibling discount available)

Teen Week 2025
Registration

Finances should never be the reason a teen does not attend an event. If you need financial assistance, please email [email protected].

Please click below to continue the registration process and complete payment.

Who: Teens & Tweens (grades 5, 6, 7, 8)
Where: St. Alphonsus Campus (Mary Garden)
Date: June 1 - 4
Time: 6p - 8p
Cost: $40 per Person (sibling discount available)

Who: Teens & Tweens (grades 5, 6, 7, 8)
Where: Adrenaline Family Adventure Park
10080 E. 121st Street, Suite 182
Fishers, IN 46037
Date: June 5
Time: 9:15a - 2:30p
Cost: $35 per Person (sibling discount available)