Archbishop Ryan High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Confirmation Retreat for Middle School Students at Archbishop Ryan High School

January 6, 2024 | March 2, 2024

Welcome to the Ignite Retreat registration page! Ignite is a Confirmation retreat for middle school students held at Archbishop Ryan High School. We look forward to your child experiencing faith, friends, and fun! Please note that registration is on a first-come basis and that only one date should be selected. Contact lmonica@arhs.org with any questions or to learn more.

Registration - Choose One

Ignite Registration - January 6th, 2024

$20.00

Ignite Registration - March 2nd, 2024

$20.00

Student Information

Student First Name: *

Student Last Name: *

Student Gender: *

Student Grade Level: *

Student’s School: *

Parish: *

Parent Information

Parent/Guardian 1 First Name: *

Parent/Guardian 1 Last Name: *

Parent/Guardian 1 Phone: *

Parent/Guardian 1 Email: *

Parent/Guardian 2 First Name: *

Parent/Guardian 2 Last Name: *

Parent/Guardian 2 Phone: *

Parent/Guardian 2 Email: *

Waivers

Liability: *

I understand that in order to ensure a safe, secure and respectful environment, a student is expected to behave in a manner that reflects Christian virtue and Gospel values. Any behavior which is contrary to the teachings of Jesus Christ will not be tolerated. Appropriate disciplinary actions will be taken by the Retreat Director which may include the immediate dismissal of the student participant. Inappropriate behaviors include but are not limited to bullying, harassment, intimidation, threats to Ignite staff and/or student participants, vandalism and/or the carrying of contraband. Backpacks are permitted. If, however, there is a reasonable suspicion that the student participant is carrying contraband, the Ignite Retreat staff will search the backpack and seize the contraband. Contraband includes but is not limited to illegal drugs, drug paraphernalia, weapons, and alcohol. If the student participant refuses to cooperate or the contraband discovered poses an immediate danger to others, the police will be notified. For safety reasons, student participants are permitted to carry their own cell phones, but may not use them during the day. The cell phone may be confiscated if this policy is violated. No other electronic devices are permitted.

Medical Information: *

I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize a call to be made to 911 for emergency medical attention.

Media Release: *

Archbishop Ryan High School and the Archdiocese of Philadelphia have my permission to use my child's photograph publicly to promote the Ignite Retreat. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

Additional Information:

Are there any additional comments or information that we should know (ex. Allergies, IEPs, etc.)

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *