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Diocese of Butuan

Our Lady of Charity Parish


Mabuhay, Bayugan City

Summer Youth Camp '23


June 9-12, 2023
Theme: Synodal Church; Communion, Participation and Mission

REGISTRATION FORM
NAME : AGE :
NICKNAME : BIRTHDATE :
CONTACT PERSON : SEX :

CHAPEL : ZONE :
PARTICIPANT SIGNATURE :

CHAPEL YOUTH LEADER : SIGNATURE :

CHAPEL PRESIDENT : SIGNATURE :

PARENT CONSENT
I, parent/ guardian of , consent my child to participate the
Summer Youth Camp “23 from June 9 until 12 at Our Lady of Charity Parish, Brgy. Mabuhay, Bayugan City
with the theme “Synodal Church; Communion, Participation and Mission.”.

I agree that my child’s participation is purely voluntary and not to hold the church liable or responsible for
any loss or injury sustained by my child arising in connection with his/her participation in Summer Youth
Camp ‘23.

Parent Signature
(Over Printed Name)

*Please select a Topic for Breakout Session in Column 1 and Topic for Skills Workshopin Column 2.
BREAKOUT SESSION SKILLS WORKSHOP
Empowered Leadership: Unleashing your Potential. First Aid
Mind Matters: The Truth About Mental Health Table Skirting
The Born Identity: Understanding One’s Self Flower Arrangement
Stand and Deliver: The Art of Public Speaking Hair and Makeup
Frenemies: Defining Relationships from God’s Viewpoint Handicraft
The Survivor: Overcoming Your Fears and Challenges Cooking
Crossroads: What to do when you don’t know what to do Hairdressing
The Flipside: Dealing with Acceptance and Rejection Painting

*Your second choice. (Please write in the given space below)

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