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Church of the Assumption
20 East Ave.,
Fairport, NY 14450 //
(585) 388-0040
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The maximum number of form submissions has been reached. This form is currently not available.
All 9th-12th graders at Assumption & Resurrection are welcome to join us at Camp Stella Maris for a mini Search retreat!
Join us for a fun day of reflection, prayer, connection, and adventure on Sunday, April 18th from 10am - 5pm at Camp Stella Maris!
Camp Stella Maris
4395 E Lake Rd
Livonia, NY 14487
We will be utilizing the Wegman House for our large indoor gathering space, Peggy's Cafe for socially-distant lunch time (included!), outdoor spaces/grassy areas as weather allows, and the Adventure games/activities/high ropes
experiences
outside.
We will be doing a high ropes experience or two if the weather cooperates too! Please wear closed toed shoes (ie: sneakers or hiking boots) and wear or bring pants. Closed toed shoes are required for the ropes activities, but the pants/leggings will just make your
experience
in a harness much more comfortable.
Due to Covid concerns, families are responsible for their own transportation to and from retreat. We will be masked and hand sanitizing all the time to keep everyone as safe as possible while at CSM.
Please attend Mass at 4:00p, 4/17 the day before or 8:15am, 4/18, prior to heading to CSM.
Parent or Guardian:
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Cell phone number
REQUIRED
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Please enter a phone number.
Email
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2nd Emergency Contact if 1st Parent/guardian cannot be reached:
First Name
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Last Name
REQUIRED
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Please enter valid data.
Relation to Youth/s
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Cell phone number
REQUIRED
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Number of students you are registering for Retreat.
REQUIRED
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Youth Name 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.
Current Grade
REQUIRED
9th
10th
11th
12th
Please fill out this field.
Dietary concerns/restrictions?
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I give permission for photos of my child to be taken and used on the Assumption/Resurrection social media & website
Yes
No
Youth Name 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.
Current Grade
REQUIRED
9th
10th
11th
12th
Please fill out this field.
Dietary concerns/restrictions?
Please enter valid data.
I give permission for photos of my child to be taken and used on the Assumption/Resurrection social media & website
Yes
No
Youth Name 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.
Current Grade
REQUIRED
9th
10th
11th
12th
Please fill out this field.
Dietary concerns/restrictions?
Please enter valid data.
I give permission for photos of my child to be taken and used on the Assumption/Resurrection social media & website
Yes
No
Youth Name 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.
Current Grade
REQUIRED
9th
10th
11th
12th
Please fill out this field.
Dietary concerns/restrictions?
Please enter valid data.
I give permission for photos of my child to be taken and used on the Assumption/Resurrection social media & website
Yes
No
Total:
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