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NOTE: We will be taking all necessary precautions on-site to prevent the spread of COVID-19. Additionally, upon checking in on-site, you'll be asked to sign a COVID-19 waiver form.
general info
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Indicates required field
Name
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First
Last
Sex
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Male
Female
Age (At Time of Retreat)
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Email
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Phone Number
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Mailing Address
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Line 1
Line 2
City
State
Zip Code
Country
If applicable, please list the college or university you are currently attending:
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If applicable, please list your current occupation:
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Have you attended ECHO in the past?
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Yes
No
If you answered yes, please list past ECHO retreats you have attended:
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How would you describe your knowledge of the Theology of the Body (no wrong answer):
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"I can quote it"
"I get the gist"
"I've heard of it"
"What's That?"
Please briefly describe why you would like to attend:
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medical info
(IN CASE OF EMERGENCY)
Health Insurance Company
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Policy Number
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Name of Primary Care Doctor
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Phone Number of Primary Care Doctor
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Name of Emergency Contact Person
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Please type the name of the person (family member, friend, etc) you would like us to call in the case of an emergency.
Emergency Contact Phone
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Please list any Environmental or Medical Allergies. If you have none, please type "None"
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If none, please write "none"
Please list any Dietary Restrictions. If you have none, please type "None"
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We will do our best to accommodate your needs, but we will contact you if other arrangements need to be made.
MEDICAL LIABILITY WAIVER
I hereby authorize designated staff of Dumb Ox Ministries to carry out the wishes I have named (herein) in areas of emergency medical treatment and other cases of illness for myself. This authorization inclusively extends from February 26, 2021 - February 28, 2021. I hereby warrant, to the best of my knowledge, I am in good health, and I assume all responsibility for myself.
In the event of an emergency, I hereby give permission to transport me to a hospital for emergency medical or surgical treatment. I ask you to advise the person(s) listed as the emergency contact to any further treatment by the hospital or doctor. I assume full financial responsibility for any medical treatment expenses I may incur. I agree to either pay for services upfront, or if Dumb Ox Ministries pays, I agree to be billed and reimburse their expense.
Please click below
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I understand and I agree
please type your full name below. This serves as your electronic signature agreeing to the above terms and conditions.
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general liability waiver
I remain legally responsible for any personal actions taken by myself. I agree on behalf of myself named herein, or our heirs, successors, and assigns, to hold harmless and defend Dumb Ox Ministries, the Diocese of Baton Rouge, and Camp Istrouma, their officers, directors, agents and staff, chaperons, or representatives associated with the event, arising from or in connection with myself attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate
Dumb Ox Ministries, the Diocese of Baton Rouge, and Camp Istrouma
, their officers, directors, staff, agents, chaperones, or representatives associated with the activity for reasonable attorney fees and expenses arising in connection therewith.
PLEASE CLICK BELOW
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I understand and agree
please type your full name below. This serves as your electronic signature agreeing to the above terms and conditions.
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Photo release & video consent
In consideration of the taking and use of the photographs or video footage of the named below, for good and valuable consideration herein acknowledged as received, I hereby grant to Dumb Ox Ministries the irrevocable and unrestricted right and permission to take, use, re-use, publish photographic pictures of me or in which I may be included, made through any medium and in any and all media now or hereafter known for illustration, promotion, art, editorial, advertising, trade, or any other purpose whatsoever. I also consent to the use of any published matter in conjunction therewith.
I hereby waive any right that I may have to inspect or approve the finished product or products and the advertising copy or another matter that may be used in connection therewith or the use to which it may be applied.
In exchange for the benefits derived by my participation, I hereby agree that I, my heirs, distributes, guardians, legal representatives, and assigns to do release and will indemnify, hold harmless the photographer or videographer, Dumb Ox Ministries for claims for libel or violation of any right of publicity or privacy or privacy arising out of or in connection with my participation in the photography or videography project, from whatever cause, including the active or passive negligence of the photographer, videographer, or Dumb Ox Ministries.
please click below
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I understand and I agree
Please type your full name below. This serves as your electronic signature agreeing to the above terms and conditions.
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ECHO-mini CODE OF CONDUCT
VIOLATIONS OF ANY OF THE REGULATIONS LISTED BELOW MAY RESULT IN YOUR IMMEDIATE RETURN HOME AT YOUR EXPENSE:
1. All camp directors, chaperones or counselors are to be respected at all times; instructions are to be followed.
2. Alcoholic beverages, tobacco, illegal drugs, and weapons or dangerous items of any sort are positively forbidden.
3. Room/cabin assignments may not be changed once assigned.
4. Members of the opposite sex may not visit each other’s rooms/cabins at any time.
5. Inappropriate public or private displays of affection are not allowed at any time during the camp.
6. Anyone damaging property will be held responsible for the cost of damages. Dumb Ox Ministries, the Diocese of Baton Rouge, and Camp Istrouma are not responsible for damage expenses that an individual incurs. Theft of property is forbidden.
7. You must be on-time for all scheduled activities. Failure to follow this rule may result in loss of privileges at this camp.
8. Obscene or abusive language, and inappropriate comments will not be tolerated.
9. Modesty in dress and behavior is required.
10. Participants must act as positive role models at all times during the camp and respect the property and residents of Camp Istrouma.
11. Participants must participate in all scheduled activities.
12.
CAMPERS ARE RESPONSIBLE FOR VALUABLES.
Please do not bring valuables such as jewelry, expensive electronics, etc. Dumb Ox Ministries, the Diocese of Baton Rouge, and Camp Istrouma are not responsible for loss, damage, or theft that may result to such items.
I have read the regulations for ECHO. I understand that if I violate any of the above-mentioned rules or any others deemed necessary by the Camp Director, I could be sent home immediately at my expense.
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I understand and I agree
PLEASE TYPE YOUR FULL NAME BELOW. THIS SERVES AS YOUR ELECTRONIC SIGNATURE AGREEING TO THE ABOVE TERMS AND CONDITIONS.
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Cancellation Policy
1.
If cancellation occurs
before
Friday, February 19, 2021 (7 business days prior to the retreat),
you can be refunded the full amount.
2. If cancellation occurs for any reason
after
Friday, February 19, 2021, we are unable to reimburse any ECHO registration fees and you are still responsible for the full registration balance.
3. If the retreat has to be canceled due to COVID-19 restrictions, every participant will be refunded in full.
PLEASE CLICK BELOW
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I understand and I agree
PLEASE TYPE YOUR FULL NAME BELOW. THIS SERVES AS YOUR ELECTRONIC SIGNATURE AGREEING TO THE ABOVE TERMS AND CONDITIONS.
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payment
You must pay in full ($135) to complete your registration. Upon clicking submit, you will be redirected to the secure online payment page to pay via credit card. If you prefer to pay via check, please make it out to Dumb Ox Ministries and mail to:
Dumb Ox Ministries
P.O. Box 251
Mandeville, LA 70470
If you were registered for ECHO Loranger or ECHO Deeper for Summer 2020 and opted to apply your registration fees to a future event, and you would like to apply it for this ECHO Mini-Retreat, please contact us at:
echocamp@dumboxministries.com
We never want money to be the reason you cannot attend one of our events.
If you have a financial hardship, please contact us. We will be happy to discuss options to help you attend.
If you have any questions or concerns regarding payment or registration, please call our office at 985-951-2215.
Upon review, you will receive a confirmation email including a packing list and arrival info, so be on the lookout for that. We look forward to seeing you there!
Submit Your Registration
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