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Kairos Permission Slip

Description:

Dear Senior,

First, on behalf of SAINTS, we’re happy you are choosing to go on a KAIROS retreat. We are confident that each member of the class of 2019 will have a memorable and enjoyable retreat. We will be leaving after-school on Tuesday, April 2nd and returning Friday, April 5th by 6:30 pm.  KAIROS has become a long running tradition at Saints and is now in its 15th year. KAIROS not only impacts the lives of the upperclassmen, but it has a profound impact on the entire school community, from freshmen to faculty. In order for you to register for KAIROS, please have your parent (s) complete form, and pay $240.00 to reserve your spot. Your total retreat fee will be $240.00. If your family cannot afford the entire $240.00 retreat fee scholarship money is available for you to use. To apply, please have a parent or guardian write a brief letter to the campus ministry office requesting financial aid. Money will never be the reason that keeps a SAINTSMAN from attending a KAIROS retreat. Space cannot be confirmed until you submit your form and either pay online or submit a financial aid letter from your parent.

Spaces are reserved on a first come, first serve basis.

Our retreat capacity is 42 retreatants.  Please complete by Friday, March 15th .

Peace,

Miss Quirk

Director of Campus Ministry

619-282-2184 x5595

 

AUTHORIZATION FOR CONSENT TO TREATMENT OF MINOR

I (We), the undersigned, parent(s)/guardian(s) of registered minor, do hereby consent to the participation of said minor in this retreat and give him permission to make use of the chartered bus transportation supplied by St. Augustine High School to and from the retreat center, and to sleep over at the center for three nights.

The undersigned also authorizes the Campus Ministry Team of St. Augustine High School as agent(s) for the undersigned to consent to any X-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the Medical Practice Act on the medical staff of any accredited hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital.

It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required but is given to provide authority and power on the part of our aforesaid agents to give specific consent to any and all such diagnosis, treatment, or hospital care which the aforementioned physician in the exercise of his best judgment may deem advisable. I further agree to pay any and all costs associated with treatment not covered by our insurance.

 

PARENTAL PERMISSION AND RELEASE FORM

I request that St. Augustine High School allow my son to participate in the Kairos Retreat at Whispering Winds from Tuesday, April 2–Friday, April 5th 2019. I/We understand and are aware there are certain risks and dangers involved while traveling to and from this activity; and participating in the above activity. I/We as parent(s)/guardian(s) agree to release and hold harmless St. Augustine High School, their directors, officers, agents, employees and volunteers from any claims, liabilities, damages, or suits which may emanate from circumstances and/or activities beyond the control of St. Augustine, their employees, agents, volunteers or representatives. I/We also understand that there will be periodic times throughout the retreat where each individual retreatant will not be closely monitored by adult supervision, and that the St. Augustine code of conduct is expected to be followed at all times.

We are sorry but registration for this event is now closed.

Please contact us if you would like to know if spaces are still available.

Saints e-Scene