Cathedral of Christ the King

All questions marked by an asterisk are required
Event Name:
Life Teen Summer Camp 2019

 
 
 

Life Teen Summer Camp Join CTK Life Teen and 200 other teens from around the country for the most unforgettable week of your life at Life Teen Summer Camp!   Life Teen Summer Camp brings together top Catholic speakers, musicians, fun, and adventure, all to the beautiful Life Teen Covecrest in the North Georgia Mountains.  You DO NOT want to miss this!

Who: Open to all 2018-19 High Schoolers, Catholic or not

What: Sessions | Sports | Games | High Ropes | White Water Rafting | Mass | Adoration | Worship

When: June 3-8, 2019 | Monday-Saturday

Where: Life Teen Covecrest  | Tiger, GA

Cost: $650 Total Cost -  $250 Deposit at Registration | $400 Final Payment by April 30th| Scholarships Available Upon Request (for more information, click Scholarship Request)

NOTE: A total of 25 spots are available and will be given on a first-come-first-served basis.

 

Find more info online at CTKyouth.com/ltsummercamp

 


For your Teen, please provide us with the following information:
 

 Click to select a date


Parent information:

 


EMERGENCY CONTACT /MEDICAL INSURANCE INFORMATION
 


(Name of Relative/Friend to Contact if unable to reach parent/guardian in the event of an emergency)
 


 


(name of Parent/Guardian providing Insurance)

 


(
Name of Policy Holder as it appears on Insurance Card)
 

                                              (if none, specify 'NONE')
 


 

PARENTAL PERMISSION

I give permission for my child(ren) to take part in CTK Young Church programs, including the following: EDGE, Life Teen, Confirmation, Empower, discipleship, socials, etc. I understand that these activities will be supervised by adult chaperones with the child's safety being their first concern. I do further hereby release, absolve, indemnify and hold harmless the Cathedral of Christ the King, the organizers of the activity, sponsors, the supervisors and all of them. In case of injury to my son or daughter, I hereby waive all claims against the organizers or any of the supervisors appointed them.

By inserting my Full Name in the following box and Checking the 'accept Electronic Signature Box below' I agree this constitutes my legal signature.
 

MEDIA & COMMUNICATION RELEASE FORM

I hereby grant permission for my child(ren) to be photographed and/or interviewed for The Georgia Bulletin, or other media, including but not limited to television, radio, newspapers, and the internet, for public dissemination. I release and relieve CTK Parish, and the Archdiocese of Atlanta from any responsibility or liability for any claims arising from the publication or reproduction of any photographs or interviews in any news or other media. I waive any and all rights to inspect or approve the finished photographs or printed matter that may be used in conjunction with any photograph or to approve the eventual use for which it may be applied.

Understanding current communication through social media, texting, and messaging, I hereby grant permission for my child(ren) to opt into sending and receiving electronic communication from CTK Young Church staff and leaders. All CTK staff and leader have completed and passed a background check. I understand that I may request transcripts of any and all communication between my child(ren) and CTK staff and leaders at any time.

By inserting my Full Name in the following box and Checking the 'accept Electronic Signature Box below' I agree this constitutes my legal signature.
 


EMERGENCY CARE - PERMISSION

I give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events. I understand that any such instance, all attempts will be made to contact the parent/guardian. In the event that I cannot be contacted, I hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein.

MEDICAL & ONLINE SUBMISSION RELEASE: I/We, the parent(s)/guardian(s) of the above named candidate, do hereby give my/our permission and approval for my/our son/daughter/guardianship to participate In the CATHEDRAL OF CHRIST THE KING LIFE TEEN Summer Camp from June 3 - June 8, 2019. I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone these events, other participants, (CATHEDRAL OF CHRIST THE KING), the Catholic Archdiocese of Atlanta, CTK Youth Ministry, and any of the above named parties’ representatives, successors, supervisors, sponsors, and/or organizers, for any injuries in connection with the outing / event(s) named above provided that said injuries are not the result of negligence. I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named student’s behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility. I admit that all information submitted to the CTK Office of Youth Ministry through the Cathedral website(s) is accurate and may be used in the event of any emergency that may arise.

 

By inserting my Full Name in the following box and Checking the 'accept Electronic Signature Box below' I agree this constitutes my legal signature.
 

  
 Credit Card