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Weekend Retreats Registration
Tim
2025-10-31T09:33:35-05:00
Weekend Retreat Registration
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Weekend Retreat Registration
Choose a Retreat Option (You may register one retreatant at a time)
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Middle School Retreat (October 10-12, 2025)
High School Retreat (November 14-16, 2025)
Middle School Retreat (March 13-15, 2026)
High School Retreat (April 24-26, 2026)
Retreatant Name
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First
Last
Retreatant Gender
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Male
Female
Retreatant Grade (2025-2026 School Year)
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6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Retreatant Birthday
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What is your pastorate?
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Not from the Diocese of Madison
St. Joseph the Worker (1)
St. Dominic (2)
St. Isidore the Farmer (3)
Our Lady of the Most Blessed Sacrament (4)
St. Pius of Pietrelcina (5)
Ss. Joachim and Anne (6)
St. John Paul II (7)
Mary, Mother of Mercy (8)
St. John Henry Newman (9)
Mater Dei (10)
Christ the King (11)
Queen of Martyrs (12)
St. Jane Frances de Chantal (13)
St. Teresa of Calcutta (14)
St. Francis of Assisi (15)
St. Thérèse of Lisieux (16)
Nativity of The Lord (17)
St. Maximillian Kolbe (18)
Holy Cross (19)
Divine Mercy (20)
St. Thomas Aquinas, Madison
Our Lady Queen of Peace, Madison
Our Lady of Guadalupe (22)
Queen of Apostles (23)
St. Cletus (24)
Epiphany of the Lord (25)
Stella Maris (26)
Blessed Sacrament, Madison
St. Pau's Catholic Student Center, Madison
St. Augustine University Parish, Platteville
St. Bernard, Madison
I can't figure it out
Don't know? Find out here: https://intothedeepmadison.org/pastorates-and-priests
How did you hear about this event?
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Camp Gray Summer Camp
Love Begins Here
My Parish
Social Media
Email
Word of Mouth
Other
ESSENTIAL ELIGIBILITY REQUIREMENTS
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Camp Gray is a great place for many campers, but it is not the right camp for every child. Below you’ll find some succinct requirements that match up with what Camp Gray provides and the values that we hold. These statements are intended to help you discern if Camp Gray is right for your children. If you would like to discuss any of these in further detail please call 608.356.8200.
DEVELOPMENTAL - Campers must be capable of effective, sustained, and developmentally appropriate interactions.
RELATIONAL - Campers must be a positive addition to the communal life of his/her cabin during their stay.
MORAL - Camp Gray is a Catholic organization that abides by and upholds the teachings of the Catholic Church. Camp Gray follows all policies and directives of the Diocese of Madison. All decisions about the general welfare of Camp Gray will be made with this in mind.
My child can meet the Essential Eligibility Requirements
Contact Information
Parent Name
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First
Last
Parent Email
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Enter Email
Confirm Email
Parent Cell
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Address
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
If we can't get a hold of you, who should we contact in case of emergency?
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First
Last
Emergency Contact Phone
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Who will be picking up the retreatant after the retreat on Sunday?
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Parent/Guardian
Someone Else
Name
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Phone
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Health & Dietary Information
*This information will be kept confidential*
If the retreatant has any allergies, please list them here:
Add
Remove
If the retreatant has any dietary restrictions, please list them here:
Add
Remove
If the retreatant has any physical limitations, please list them here:
Add
Remove
If your child has mental health or behavioral diagnoses, please list them here and provide a brief explanation if necessary:
Add
Remove
If your child will need to take medication over the weekend, please list the medication and dosing information here:
Add
Remove
**All medications must be in their ORIGINAL CONTAINERS**
Over the weekend, your camper may need over the counter medications. Please select the medications below that you DO NOT approve of Camp Gray staff administering if need be:
Ibuprofen
Acetaminophen
Antacids (Eg. Tums)
Antibiotic Cream
Pepto Bismol
Antihistamines (Benedryl)
Health Insurance Carrier
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Health Insurance Policy Number
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HEALTH CONSENT FORM
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HEALTHCARE NOTIFICATION POLICY
Our healthcare staff will make an effort to contact you by phone, using the phone numbers provided on this form, if your child has need of out-of-camp healthcare. Because of timing and scheduling conflicts, we cannot promise that we will be successful in reaching you. Please make sure that we know how to reach you during your child's stay. In addition to phone contact, we will provide you with a written summary about out-of-camp observation or treatment. We generally do not contact you if your child is seen in the camp health center for routine problems that do not require physician referral. The decision to consult you for routine, in-camp healthcare is determined on a case-by-case basis by our provider. You will typically be notified if your child visits the health center with a repeated complaint, or if your child's condition does not improve in a reasonable amount of time.
PARENT/GUARDIAN AUTHORIZATION
This health history is correct and complete as far as I know. The person described herein has permission to engage in all camp activities except as noted. I hereby give permission to Camp Gray to provide for me/my child routine health care (including over-the-counter medications authorized on this form), administer prescribed medication in accordance with the written instructions of the health practitioner, and administer or obtain emergency medical treatment (including use of epinephrine for the treatment of allergic reactions and severe asthma reactions that are unresponsive to an inhaler). I agree to the release of any records necessary for insurance purposes. I give permission to the camp to arrange necessary transportation for me/my child.
I hereby grant permission to Camp Gray staff, as 'personal representative' of my child while enrolled in camp, to receive any records or results of medical treatment given to me/my child while enrolled at Camp Gray.
In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp to secure and administer treatment, including hospitalization, for the person named above.
By clicking here, I agree to the terms listed above for the care of my child.
LIABILITY WAIVER
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In consideration for Participants being permitted to participate in Camp Gray, Inc. (“Camp Gray”) programs, summer camps, events, or retreats and/or use Camp Gray’s facilities or equipment, Participant, Parent(s) and/or Legal Guardian(s) of a minor Participants, agree as follows:
1. ACKNOWLEDGEMENT OF RISK. Participant(s), Parent(s) and/or Legal Guardian(s) acknowledge and fully understand there are inherent risks of serious injury or death associated with tower climbing, hiking, backpacking, biking, swimming, canoeing, and other activities associated with Camp Gray. These inherent risks include, but are not limited to: encountering natural dangers such as falling rocks or objects, irregular or uneven ground, or unseen and unmarked objects; and drowning or serious injury in and around water due to water movement, subsurface conditions, cold water temperature, water impurities, and the like. Inherent risks also include acts or omissions of other participants; the condition of equipment or property; weather conditions (such as lightning strikes, sunburn, rain or hail storms, tornadoes, and the like); contact with plants, animals or insects; the risk of Participant engaging in unauthorized activities; Participant’s physical condition; Participant’s own acts and omissions; conditions of roads, trails waterways or terrain; the administration and availability of first aid and emergency treatment; and consumption of food or drink by Participant. Participant, Parent(s) and/or Legal Guardian(s) further acknowledge that all inherent risks associated with activities at Camp Gray cannot be described in this document.
2. PARTICIPANT WAIVER OF RIGHTS AND RELEASE OF LIABILITY. Participant(s), Parent(s) and/or Legal Guardian(s) hereby release, waive, discharge and covenant not to sue Camp Gray, its employees, officers, directors, and/or agents (collectively, the “Camp Gray Releasees”) from all liability to the Participant, Parent(s), and/or Legal Guardian(s), their personal representatives, assigns, heirs and next of kin, for any and all loss or damage, and any claim or demands therefore, on account of injury to the person or property or resulting in the death of Participant, Parent(s) and/or Legal Guardian(s), arising out of or related to participation in Camp Gray programs, summer camps, events or retreats and/or use of Camp Gray facilities and equipment, including but not limited to those risks described in paragraph 1 above, whether caused by the negligence of the Camp Gray Releasees or otherwise. This waiver of rights and release of liability does not include injury, damage, death or loss as a result of the intentional or reckless acts of the Camp Gray Releasees.
3. INDEMNIFICATION AND HOLD HARMLESS. Participant, Parent(s) and/or Legal Guardian(s) shall indemnify and hold harmless the Camp Gray Releasees against all losses, damages, monetary awards and expenses, including all costs and attorneys’ fees, incurred in connection with any and all claims of negligence on the part of the Camp Gray Releasees, brought by Participant, Parent(s) and/or Legal Guardian(s), their heirs, successors, assigns, and legal representatives, for any injury, death, illness, disease, or damage to property, arising from or connected with participation in any Camp Gray program, summer camp, event or retreat and/or use of Camp Gray’s facilities and/or equipment. The indemnification and hold harmless provision does not include losses, damages, monetary awards and expenses, including costs and attorneys’ fees, as a result of the intentional or reckless acts of the Camp Gray Releasees.
4. MISCELLANEOUS. The parties agree that the provisions of this “Waiver and Release of Liability; Indemnification and Hold Harmless Agreement” (“Agreement”) shall be deemed severable, and that the invalidity or unenforceability of any one or more of the provisions of clauses hereof shall not affect the validity or enforceability of the other provisions or clauses hereof except as specifically set forth herein. The terms of this Agreement constitute the entire agreement and understanding between the parties relating the matters covered by this Agreement. This Agreement is made pursuant to and shall be construed under the laws of the state of Wisconsin.
5. OPPORTUNITY TO NEGOTIATE. You are encouraged to carefully review the contents of this “Waiver and Release of Liability and Indemnification and Hold Harmless Agreement” (“Agreement”). DO NOT SIGN this Agreement unless you understand and agree to its terms and conditions. You may wish to consult an attorney. If you wish to NEGOTIATE any of the terms of this Agreement for any modifications, deletions or additions, please contact the Camp Gray Director at 608-356-8200 prior to signing and executing this Agreement. If you do not contact the Camp Gray Director prior to signing and executing this Agreement, Camp Gray understands that you are accepting the terms and conditions set forth above, and that you do not wish to pursue any negotiations regarding the terms and conditions of this Agreement.
6. MEDIA WAIVER. I give permission and consent for Camp Gray to allow photographs and video to be taken during camp session activities. I further give permission and consent that any such photographs or video may be published and used by Camp Gray Inc. and the American Camp Association® and its agents, to illustrate and promote the camp experience, Camp Gray Inc. and its camp programs, or the American Camp Association.
I CERTIFY THAT I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY AND INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS AND ASSUMING SUBSTANTIAL RESPONSIBILITIES BY SIGNING IT, AND THAT I SIGN IT VOLUNTARILY. I FURTHER CERTIFY THAT IF I SIGN BELOW AS A PARENT OR LEGAL GUARDIAN, I AM AUTHORIZED TO DO SO ON BEHALF OF ALL PARENTS AND/OR LEGAL GUARDIANS, AS WELL AS THE PARTICIPANT(S) UNDER THE AGE OF 18.
By clicking here, I agree to the terms listed above for the care of my child.
Payment Details
Retreat Registration Cost
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Price:
Total
Credit Card
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Cardholder Name
Card Details
It is our goal to partner and work together with parents to determine if our program is suitable for your child prior to their enrollment. When you enroll your child in our program, you are reserving space, time, meals, supplies, and staffing whether or not your camper attends the program. Your registration helps us continue to make plans and prepare for retreats. We are grateful for your trust.If a cancellation is necessary the retreat registration of $35.00 is refundable if notice is received prior to one month before the retreat. There is no refund for cancellations made less than one month before the retreat.
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