Camp Karol

Lake Charles, LA

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Retreats and Programs

- Retreats and Programs
All volunteers 18 years and over must email current Safe Enrivonment Certification to Office of Youth Ministry to complete registration.
Office of Youth Ministry

Middle School Retreat Registration Form

Student & Volunteer Form
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Teen's Phone Number Maximum 20 characters Please enter a phone number.
- Teen's Email REQUIRED Please fill out this field. Please enter an email address.
- Gender REQUIRED Female Male Please fill out this field.
- Grade Next School Year - 2023-2024 REQUIRED 7th grade 8th grade Adult Volunteer Please fill out this field.
- Church Parish Please enter valid data.
- Best Parent or Guardian Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent/Guardian Phone #1 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent/Guardian Phone #2 Maximum 20 characters Please enter a phone number.
  
  MEDICAL:
  I hearby warrant, to the best of my knowledge, my child is in good health and I assume all responsibility for the health of my child. In the event of an emergency, I hereby give my permission to transport my child to a hospital for emergency or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
  
  Emergency Contact:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Policy and/or Group Number REQUIRED Please fill out this field. Please enter valid data.
  
  Family Health Plan/Carrier REQUIRED Please fill out this field. Please enter valid data.
  
  Photograph & Video Consent:
  From time to time, photographs and/or video may be taken of youth ministry events and gatherings. We would like to be able to use these photographs and videos for flyers, parish and diocesan publications, social media, and the ministry website. Names will not be posted unless written consent is obtained from the student and parent/guardian, and then only first names will be used. If there is concern about photographs or videos posted on the website, please contact the ministry coordinator and they will be promptly removed.
  
  I hereby agree/disagree to the Photography and Video Consent Policy REQUIRED I agree I disagree Please fill out this field.
  
  For those attendees that do not wish to be photographed during the event, please register directely with the office. Thank you.
- Best Parent or Guardian Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Email REQUIRED Please fill out this field. Please enter an email address.
  
  Parent/Guardian Phone #1 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent/Guardian Phone #2 Maximum 20 characters Please enter a phone number.
  
  MEDICAL:
  I hearby warrant, to the best of my knowledge, my child is in good health and I assume all responsibility for the health of my child. In the event of an emergency, I hereby give my permission to transport my child to a hospital for emergency or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
  
  Emergency Contact:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Policy and/or Group Number REQUIRED Please fill out this field. Please enter valid data.
  
  Family Health Plan/Carrier REQUIRED Please fill out this field. Please enter valid data.
  
  Photograph & Video Consent:
  From time to time, photographs and/or video may be taken of youth ministry events and gatherings. We would like to be able to use these photographs and videos for flyers, parish and diocesan publications, social media, and the ministry website. Names will not be posted unless written consent is obtained from the student and parent/guardian, and then only first names will be used. If there is concern about photographs or videos posted on the website, please contact the ministry coordinator and they will be promptly removed.
  
  I hereby agree/disagree to the Photography and Video Consent Policy REQUIRED I agree I disagree Please fill out this field.
  
  For those attendees that do not wish to be photographed during the event, please register directely with the office. Thank you.
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Retreats and Programs

Middle School Retreat Registration Form

Student & Volunteer Form

Photograph & Video Consent:

Photograph & Video Consent: