SANCTUS Young Adult Retreat 2025: Camp Jubilee!

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Age REQUIRED Please fill out this field.

Parish/Pastorate/Church REQUIRED

where you are registered or where you attend most often

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Confirmation Saint or Favorite Saint Please enter valid data.

Are you... ...a baptized Catholic? ...going through OCIA? ...discerning joining the faith? ...just coming to see?

T-shirt Size REQUIRED

Generic, unisex t-shirt size!

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Emergency Contact Information

Emergency Contact Name(s) REQUIRED Please fill out this field. Please enter valid data.
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MEDIA RELEASE REQUIRED I hereby grant St. Alphonsus Liguori Catholic Church permission to use photographs and/or videos taken of me during the retreat for use in promotional materials, social media, websites, and other publications. I DO NOT grant permission of the use of photographs and/or videos taken of me during the retreat for use in promotional materials, social media, websites, and other publications. Please fill out this field.

LIABILITY RELEASE

I agree on behalf of myself, or my 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 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.

MEDICAL RELEASE

I give my permission, in case of emergency, to be taken to a physician or hospital by either an adult in charge or by parish personnel. I understand that every effort will be made to contact my emergency contact. If my emergency contact cannot be reached, I hereby give permission to the physician selected by the parish personnel in charge to secure proper treatment for myself.
Please answer according to the medical statement above: REQUIRED Yes No Please fill out this field.

Cost to Attend50.0