Diocese of Belleville, IL

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Diocesan Youth Camp

Who:	High School Students
When:	Saturday March 16th & Sunday, March 17th, 2019
Where:	Camp Ondessonk 3760 Ondessonk Road, Ozark, Illinois 62972
Time:	5:00 pm Saturday – 6:00 pm Sunday Check-in Saturday 5:00-5:45 pm. Check-in Sunday 8:00-9:00 am (for those attending Sunday ONLY).
Cost:	$75.00 for both Saturday & Sunday $50.00 for Sunday only

The theme of this Camp is CHOSEN. This Camp is designed to help participants enter into a deeper relationship with God through youth-led talks, interactions with peers and nature, Mass, Reconciliation and other fun activities. Fee includes lodging Saturday night at the camp, food, t-shirt, and much more!

Deadline for registration is March 1, 2019

Please note: All adult chaperones must be in compliance with the Child Protection Requirements for the Diocese of Belleville.

Sponsored by the Office of Youth Ministry, Diocese of Belleville
Diocesan Youth Ministry Advisory Board (adult ministers)
Diocesan Youth Ministry Advisory Council (youth leaders)

Pay by Check

Qty

Description

Diocesan Youth Camp – March 16-17, 2019

$75 per registrant

Diocesan Youth Camp – Sunday, March 17, 2019 only

$50 per registrant

Registration Deadline: March 1, 2019
Diocese of Belleville – Office of Youth Ministry
2620 Lebanon Avenue, Building #6
Belleville, IL 62221

Person Filling Out This Information

First Name:

Last Name:

Title:

E-mail:

Phone:

NAMES OF THOSE ATTENDING

Registrant #1 First Name: *

Registrant #1 Last Name: *

Date of Birth:

Parish:

City:

Dietary Restrictions/Food Allergies:

Please check:

Adult Chaperone (includes a T-shirt)

Yes, this chaperone has completed the requirements for Child Protection compliance.

Youth (includes a T-shirt)

T-Shirt Size:

Payer Information

Total Check Amount:

Please calculate your total.

Address:

City: *

State / Province: *

Zip Code: *

Country: *

Email: *

An acknowledgement will be e-mailed to this address.

Telephone: