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Name Address City__________________________________ State_____ Zip Code Phone Number________________________ Parish/City Birth date_________________ Age_______ Grade (going into this fall)


(rev. 11/7/06)

Your son/daughter, ward, _________________________________ is eligible to participate in a diocesan sponsored activity that requires permission. This activity will take place under the guidance and supervision of employees/volunteers from __The Diocese of Duluth Vocation Office and their appointed camp staff. A brief description of the activity is as follows: TYPE OF ACTIVITY: Summer Camp Vocations Camp 1 pm June 24 3 pm June 26, 2013


METHOD OF TRANSPORTATION (IF APPLICABLE): on your own STUDENT COST (IF APPLICABLE): $75 for participants inside the diocese - $95 for outside I consent to the participation of my child/ward in the above named activity. In consideration for my child/ward's participation, I agree to reimburse and indemnify the Diocese of Duluth for all reasonable legal and court fees incurred by the Diocese in defending a lawsuit that I or my child/ward may bring against the Diocese which relates to the above named activity if the Diocese is found not legally liable by the courts and prevails in the lawsuit. If the Diocese is found liable for the injuries sustained by child/ward, this paragraph will not apply. I certify that I have an understanding of this agreement and the risks and hazards associated with the activity described above that my child/ward will be participating in. I further understand that I had the opportunity to fully discuss this agreement with a representative of the Diocese of Duluth Vocation Office to clarify any concerns or questions about the activity or this agreement that I may have had.


Registration forms and payment MUST be returned by June 7, 2013 to: Deacon Mike Knuth Diocese of Duluth 2830 E. 4th St. Duluth MN 55812
MISSION AND OBJECTIVES OF VOCATION CAMP God calls all of His people to Himself. God created us for one purpose and for one end. Our purpose is to know and love God. Our end is union with God. Out of this love relationship flows our need to serve Him. As Gods people, we are called to be His children. As His children we are called to be holy. God calls us to live out our holiness in one of three states: married, consecrated, or religious. Vocation Camp seeks to provide a Catholic environment where young men and women can come apart from the world to experience Gods presence and His call to be His children and to be holy. Vocation Camp seeks to foster a deeper life of prayer and devotion among its participants. Vocation Camp will explore the possible call to the religious life and provide a variety of priests and religious to live and work with the participants. Vocation Camp seeks to help its participants respond positively to Gods call by encouraging their own fiat to God. Vocation Camp seeks to encourage its participants to commit themselves to daily prayer, asking God for an openness and willingness to follow Him.

Parent/Legal Guardian Signature Address

Date Home Phone Work Phone

EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I give permission to transport my child/ward to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:

Name and relationship Medical Insurance Company

Phone Number Policy Number

Please furnish medical information about your child/ward which may be pertinent to his or her participation in the above identified activity: _ PLEASE RETURN TO: BY:

Please keep this form on file at the parish or school for six (6) years .