april 23-26 mount angel - Roman Catholic Diocese of Boise

april 23-26 mount angel - Roman Catholic Diocese of Boise

MOUNT ANGEL
APRIL 23-26
WHAT: A road trip for high school guys from Idaho to Mount Angel Seminary in Oregon. The trip includes
prayer with the Benedictine Monks, daily Mass, meeting 150 seminarians, sports, hiking, classes, movies,
good food, and real friendships.
WHEN: Depart the afternoon of Thursday, April 23. Return the evening of Sunday, April 26.
WHERE: Mount Angel Seminary and Abbey is about eight hours away by vehicle in the Willamette Valley
between Salem and Portland, Oregon.
WHY: (1) Road trips rock. (2) Seminaries are awesome, Catholic, prayerful, and surprising places to experience. (3) God might be calling you to be His priest. This is a chance to discern that call more fully. (4) We
have a crazy fun weekend in fraternal, faithful brotherhood.
HOW: To register, send the attached, fully completed registration with a $30 check made out to the Diocese of Boise Vocations Office by April 16 to: Diocese of Boise Vocations, Attn: Cheri McCormack, 1501
S. Federal Way, Ste. 400, Boise, ID 83705. Please do not send cash. (Limited scholarships are available
if cost is an issue. Contact Daniel Miller for information at 208-459-3653 or [email protected].)
FLIP THE PAGE FOR FAQs.
FREQUENTLY ASKED
Q U EST I O N S
WHAT SHOULD I PACK? You will need toiletries, exercise clothing (for sports and hiking), spending money
(for a couple meals on the road and souvenirs), nice clothing (dress shirt, slacks, and a tie) for Mass, a
couple polos or collared shirts to wear during the day, a rain jacket for wet weather, activities for the car
ride (homework is allowed). Towels and bedding are provided.
WHAT IF I CAN’T AFFORD THE TRIP? We ask all participants to pay $30 to help cover the cost of gas, lodging,
and meals, but don’t let the cost stop you from going! If you need help paying, contact Daniel Miller at
[email protected] or 208-459-3653.
WILL I MISS SCHOOL? We will leave after school on Thursday, April 23, so teens will miss school on Friday,
April 24. We will return the evening of Sunday, April 26.
WHO LEADS THE TRIP? Daniel Miller is the group leader. He is the Director of Youth Ministry at Our Lady of
the Valley in Caldwell. Fr. Caleb Vogel, our Vocations Director for Recruitment in the Diocese, will see us
off from Boise and give us his blessing. Other adult chaperones will also be with the teens at all times.
Once we arrive, the monks, seminarians, and staff will lead our activities.
CAN I BE A CHAPERONE? We need adults to journey with us, so we welcome the participation of parents and
volunteers over age 21. If interested, contact Daniel Miller at 208-459-3653.
HOW DO WE GET THERE? We will take vans and drive about eight hours to Mount Angel. If your family has a
van we could use, contact Daniel Miller at [email protected] or 208-459-3653.
WHAT DO WE DO? We get the full seminary experience—classes, Liturgy of the Hours prayer with seminarians and monks (who chant!), daily Mass, playing soccer and basketball, hiking Silver Falls Park with multiple waterfalls, delicious food, movies, meeting the seminarians, and experiencing the hilltop community
of Mount Angel.
WHO CAN GO? The trip is open to high school men in the Diocese of Boise interested in discerning the
priesthood, knowing more about religious life, or just eager to visit the seminary. We depart from Boise,
so while any young men in the state are welcome, individuals or groups need to provide their own transportation to and from the Diocesan Offices at 1501 S. Federal Way in Boise.
WHAT IS MOUNT ANGEL ABBEY & SEMINARY? Mount Angel is a small town in Oregon between Salem and Portland. Atop a hill on the edge of town sits the seminary and abbey. Here men come to study and be formed
into priests for Jesus Christ and their dioceses. There are about 150 men in formation currently from
around the Western United States and many other countries. The hilltop is the permanent home for 4050 Benedictine Monks who run the seminary and lead an uncommon life of prayer and work.
GOT MORE QUESTIONS? Contact Daniel Miller at 208-459-3653 or [email protected].
DIOCESE OF BOISE YOUTH PERMISSION AND MEDICAL RELEASE
DIÓCESIS DE BOISE FORMA DE PERMISO PARA EL JÓVEN Y CONSENTIMIENTO MÉDICA
Event/Evento: Mount Angel Road Trip
Retreat Date/Fecha del Retiro: April 23-26, 2015
Youth’s Name: ____________________________________________ Parish: __________________________________________
Nombre del Joven
Parroquia
Youth Phone:______________________________________________ Can you receive texts?  Yes/Si  No
Número de teléfono de celular
¿Puede recibir mensajes de texto?
Youth or Parent Email________________________________________________________________________________________
Correo electronico del/a Joven o Padres
Date of Birth: _________/________/_________
Gender/Sexo:  Male/Masculíno  Female/Femeníno
Fecha de Nacimiento
Allergies/food restrictions ____________________________________________________________________________________
Alergias/Añada cualquier restricción alimenticia
Date of last tetanus shot (month/year) __________/_________
Fecha de la última vacuna del Tétano (mes/año)
Physical Impairments/limitations ______________________________________________________________________________
Incapacidades físicas / limitaciones
Other health issues to be aware of (illness etc.) / Otros asuntos médicos de los cuales estar conscientes (enfermedades, etc.):
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Please check if this applies / Por favor marque la que aplique:
 I am covered by hospitalization and medical insurance under policy #: _________________________________ issued by
_________________________________________ . The subscriber’s name is ________________________________. The family
physician is __________________________________, and he/she can be reached at # _________________________________.
 Estoy cubierto/a por un seguro medico bajo el número de póliza siguiente:
Dada por ____________________________________________ El nombre del titular es _________________________________.
El doctor familiar es ________________________________ y puede ser contactado al número __________________________.
Medical Treatment Preferences / Preferencia de Tratamiento Médico:
Medications: My child will be taking medications at present during this event. My child will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise direction for seeing that the child takes
such medications, including dosage and frequency of dosage are as follows:
Medicamentos: Actualmente y durante este evento mi hijo/a estará tomando medicamentos. Mi hijo/a traerá los medicamentos necesarios y tales estarán bien marcados. Los nombres de los medicamentos e instrucciones concisas para ver que mi
hijo/a tome dichos medicamentos y la frecuencia de las dosis son las siguientes:
I hereby grant permission to any staff person to provide the following over-the-counter drugs to my son/daughter if requested
by my son/daughter (Check all that apply)
Por este medio concedo permiso para que cualquier empleado le de los siguientes medicamentos disponibles sin receta a mi
hijo/hija si mi hijo/hija los pide (marque todos los que apliquen):
 Tylenol  Benadryl  Advil  Sudafed  Midol  Pepto Bismol  Neosporin  Kaopectate  Immodium
 Other __________________________
Mother or Legal Guardian (circle one) Full Name _________________________________________________________________
Nombre completo de la Madre o Tutor legal (circule uno)
Home Phone ________________________ Work Phone ________________________ Cell Phone ________________________
Numero telefónico de casa
Numero telefónico del trabajo
Numero de celular
Father or Legal Guardian (circle one) Full Name ______________________________________________________________
Nombre completo del Padre o Tutor legal (circule uno)
Home Phone ________________________ Work Phone ________________________ Cell Phone ________________________
Numero telefónico de casa
Numero telefónico del trabajo
Numero de celular
Non-parental emergency contact Name _________________________________________________________
Nombre en caso de emergencia (aparte de los padres de familia)
Emergency contact Phone / Número de teléfono _______________________________________________________
OVER PLEASE / MÁS POR FAVOR
I, THE PARENT (GUARDIAN) OF THE ABOVE NAMED CHILD, HEREBY, GIVE MY PERMISSION FOR HIS/HER PARTICIPATION IN
THE YOUTH ACTIVITY NAMED ABOVE. I AGREE TO DIRECT MY CHILD TO COOPERATE AND CONFORM TO DIRECTIONS AND INSTRUCTIONS OF PARISH, SCHOOL AND DIOCESAN PERSONNEL RESPONSIBLE FOR THIS ACTIVITY.
I agree that in the event my child is injured as a result of his/her participation in the above named activity, including organized
transportation to and from this activity, whether or not caused by the negligence (active or passive) of the parish/school or
diocesan youth activity program, or any of its agents or employees, recourse for the payment of any resulting hospital, medical,
or related costs will first be paid by parent or guardian insurance or any available benefit plan of parent or guardian. I am not
aware of any medical condition of my child, which would render it inappropriate for him/her to participate in any activity.
I, hereby, give permission to the medical personnel selected by the youth activity supervisory personnel present, should
parent/guardian not be available for permission or consultation, to render medical treatment deemed necessary and appropriate by the physician, R.N. or dentist.
I understand that during the activity my child may be transported to and from the activity site via a personal vehicle. Parents/
guardians of participants are advised that photographs or videotape of participants may be used in publications, websites or
other materials produced periodically by the Diocese of Boise, Office of Catechesis or local parishes. (Participants would not be
identified without specific written consent. Parents/guardians who do not wish their child(ren) to be photographed or filmed
should so notify the parish/Diocesan Office of Catechesis in writing. Please note that the Office of Catechesis has no control
over the use of photographs or film taken by media that may be covering the event in which your child(ren) participate.
I acknowledge that if any information changes I will notify the diocese/parish.
Parent/Guardian Signature_______________________________________________________ Date _______________________
Yo, el padre / la madre (tutor) del joven arriba mencionado, por este medio, doy mi permiso para su participación en la actividad juvenil mencionada. Yo estoy de acuerdo en instruir a mi hijo/a de ser cooperativo y que siga las direcciones y las instrucciones del personal parroquial, escolar o Diocesano responsable de esta actividad.
Yo estoy de acuerdo que en el caso que mi hijo/a sea lastimado/a como resultado de su participación en la actividad arriba
mencionada, incluyendo la transportación organizada de ida y vuelta, causada o no por la negligencia (activa o pasiva) del
programa de actividad juvenil de la parroquia /escuela o diócesis, o por cualquiera de sus agentes o empleados, la responsabilidad por el pago de cualquier gasto incurrido por hospital, medico u otros gastos relacionados, serán primeramente pagados por el seguro o plan de beneficio disponible al padre de familia o tutor. No estoy consciente de ninguna condición medica
de mi hijo/a la cual le podría impedir a el/ella la participación en cualquier actividad. Yo, por este medio, doy mi permiso al
personal medico escogido por el supervisor de la actividad juvenil que este presente, en caso de que el padre de familia/tutor
no este disponible para dar permiso o para ser consultado, de rendir el tratamiento medico necesario y adecuado por el medico, enfermero o dentista.
Yo entiendo que durante la actividad mi hijo/a puede que sea transportado a y regresado del sitio de la actividad por medio de
un vehículo privado. Se le avisa a los padres de familia/tutores de los participantes que fotografías y o video de los participantes podrían usarse en publicaciones, paginas de Web, o en otros materiales producidos periódicamente por la Diócesis de
Boise y/o la Oficina de Catequesis o parroquia local. (Sin embargo los participantes no serian identificados sin su consentimiento escrito. Los padres de familia/tutores que no desean sus hijos sean fotografiados o filmados deberán notificar la parroquia/Oficina por escrito. Por favor noten que la Oficina no tiene control sobre el uso de fotos o video tomado por los medios
cubriendo el evento en el cual su hijo(s) participara.
Yo reconozco que si alguna información cambia yo le notificare a la diócesis/parroquia.
Firma de Padre de Familia/Tutor ________________________________________________ Fecha ________________________
MOUNT ANGEL ABBEY
Parent/Legal Guardian Event Permission Slip
for Student/Youth
TO BE COMPLETED BY MOUNT ANGEL ABBEY
Below please find a brief description of the schedule of activities:
Event: COME AND SEE WEEKEND
Location: MOUNT ANGEL SEMINARY
Sponsor: MOUNT ANGEL SEMINARY
Date of Event: April 23-26, 2015
Departure Date: Thursday, April 23, 11:00 p.m.
Departure Time: 11:00 p.m.
Return Date: Sunday, April 26, 10:00 a.m.
Estimated Time of Return: 10:00 a.m.
Mode of Transportation: Diocese of Boise, personal vehicles
TO BE COMPLETED BY PARENT/LEGAL GUARDIAN
I, ____________________________ the undersigned, give my permission for ___________________________
(Parent/Legal Guardian)
(son/daughter name)
to take part in an event under the supervision of Mount Angel Seminary.

I agree and understand that transportation may be provided in such form and at the discretion of Mount Angel Seminary.

I also authorize the Mount Angel Seminary and its employees or chaperones to secure any and all necessary medical services
for my child in the event of an accident or illness. Further, I agree to be solely responsible for the payment of those services.
MINOR’s Name________________________________ Date of Birth_____________ Sex  Male  Female
Allergies (foods, drugs, insects, etc.)________________________________________________________________
Medications (name, dosage, reason)________________________________________________________________
Other information (injuries, etc.)_________________________________________________________________
In case of emergency, please notify:
Parent/Guardian (s)________________________________________________________________________
Phone Number(s)_______________________ Mobile Phone Number(s)_________________________
Child's Doctor______________________________ Phone Number__________________________________
___________________________________________
_______________________________
Parent/Guardian Signature
Date
THIS FORM TO BE KEPT ON FILE FOR THREE YEARS
C-4
November 1996