18TH ANNUAL POST THANKSGIVING RETREAT November 27-29

,2015

Come relax and have fun with us over Thanksgiving Break

at CYO CAMP! Opportunity to earn 10+ service hours!
Night hike, campfire, roasting marshmallows, stargazing,
swimming in the heated pool, eating yummy foods, and
building friendships.

AGENDA
Friday 1:00 pm:
3:00 pm:
4:00 pm:
6:00 pm:
7:00 pm:
8:00 pm:

November 27th
Depart for CYO Camp
Heated Pool Open
General Orientation /
***Program (refer below)
Dinner
Campfire - prayer & smores
Free evening stargazing

Saturday - November 28th

8:00 am: Breakfast
9:00 am:
***Program
Noon: Lunch / Free Time: heated pool open for one hour
4:00 pm:
***Program
6:00 pm: Dinner
7:00 pm:
***Program
8:00 pm: Closing Prayer
Free evening- night hike
Sunday - November 29th
8:00 am: Breakfast and pack
9:00 am:
***Program
/ Closing Mass
Noon:
Lunch
1:00 pm: Departure

***Program- High school youth will have a choice between

participating in the sharing program or leading the childrens
activities during the same time. There will be 2 groups for
children: Ages 2-7 and 8-12. Two people will be assigned per age
group. The rest of the team will be joining the adult program.
Service hours will be counted during (***Program) and those
who lead childrens activities will come free of charge.


EighteenthAnnualPostThanksgivingParishRetreat
November27th29th2015(Friday4:00pmSunday1:00pm)

LastName:_________________________First:_________________________________

WaiverandReleaseForm
:Inconsiderationoftheacceptanceofmysons/daughterapplicationfor
participationintheeventdescribedherein,Iherebygrantpermissionformyadolescenttoparticipateinthe
eventand,totheextentpermittedbylaw,waive,releaseanddischargeanyandallclaimsfordamagesfor
death,personalinjury,lossorpropertydamagewhichImayhaveorwhichmayhereafteraccruetomeor
myadolescentasaresultofmychild'sparticipationintheeventoractivitydescribedherein,includingbut
notlimitedtotransportationtoandfromtheeventoractivity,whetherornotcausedbythenegligence
(activeorpassive)oftheArchdiocese.ThisWaiverandReleaseisintendedtoreleaseanddischargein
advancethepromoters,sponsors,officials,leadersandtheROMANCATHOLICARCHBISHOPOFSAN
FRANCISCO,ACORPORATIONSOLEANDST.CECILIAPARISH,andtheirofficers,agents,and
employeesfromanyandallliabilityarisingoutoforconnectedinanywaywithmychild'sparticipationinthe
St.CeciliaPostThanksgivingRetreatfromNovember27November29,2015.Wewillbemeeting
Fridayattherectoryanddepartingby1PMandreturningbySunday3PM.MonsignorHarriman
andAndrewAquinowilldirectthisretreatwithhighschoolandadultteam.
Also,Iherebyattestandverifythatmyson/daughterisphysicallyfitorcapableofparticipationinthisevent,
andfurther,myadolescent'sphysicalconditionforsafeparticipationinthisabovedescribedeventoractivity
hasbeenverifiedbyalicensedmedicaldoctorduringthelastsix(6)months.
Iagreetoinformmyson/daughtertoabidebytherulesestablishedbythepromoters,sponsors,officials
orleadersoftheeventoractivity,andtoobeythedirectionsgivenbyanyofthem.
Further,Iherebywaiveanyandallrightstoanyphotographs,videotapes,motionpictures,recording,or
anyotherrecordofthiseventoractivity,whichmaybemadebytheArchbishop/Parish/Agencyandaffiliate
organizations.
Further,Iherebyattestthatmyadolescent'sparticipationinthiseventorthoseactivitieswillbe
conductedonhis/herowntimeandnotonhis/heremployer'stime,thatthisisforhis/herownpersonal
benefit,andanyinjurysustainedwillnotbeconsideredbymyselformyheirsorassignsasaworkincurred
injury.ThisWaiverandReleaseformissignedinordertoparticipateinthiseventoractivityformy
son's/daughtersownpersonalenjoymentandbenefit,andisdonesofreelywithfullknowledgeoftherisks
anddangersincidentthereto:

SignatureofParent:________________________________Date:_______________

Parent'sphonenumberincaseofanemergency:_________________________________

HealthPlanCarrier______________________________Policy#_____________________

EmergencyContact:

Name:__________________________________Phone:___________________________

CheckoffhowyouwillbegettingtoCYO:

Iwillgetdroppedoffbyparent

IwillridewiththeprovidedtransportationbySaintCeciliaCatholicChurch

PLEASERETURNTHISFORMAND
$60FEE
TOTHERECTORYbyTuesday,November10,2015