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CVOL Retreat

- Faith Formation

CATHOLIC VISION OF LOVE - Retreat 2021

All Greene County CCD Students in Grades 5 through 8

Click here for CVOL Letter to Parents of CCD Students (grades 5,6,7,8).

A one day Catholic Vision of Love Retreat will be held on
Saturday, October 16th, 2021, at St. Hugh Worship Site from 9:15am to 2:30pm.

Click here for CVOL Retreat AGENDA ~ updated.

This retreat will be presented by S.E.N.T Ministries (Student Evangelization Networking Team)
an outreach ministry at Franciscan University of Steubenville, Ohio.

CVOL is a Diocese of Pittsburgh mandated program for CCD students. Click here for more information on CVOL from the Diocese.

Please contact Linette Kerr, Religious Education Greene County Coordinator, at [email protected] if for any reason your child are UNABLE to attend this retreat.
CVOL Retreat FORMS ~ see below

For CCD students in Grades 5 through Grade 8 who are registering for CVOL Retreat 2021.

The information below is confidential and needed for parish records. Please use LEGAL names. Thank you.

OR click here for Release Form and click here for Consent to Treat Form to print out BOTH forms (if not completing online). Return both completed forms to Linette Kerr at the one of the CVOL Parent Meetings (see above) OR return by email at [email protected] no later than Oct. 6.
CVOL Retreat 2021 ~ Online Release Form & Consent to Treat
The maximum number of form submissions has been reached. This form is currently not available.
- Student's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  CCD Registered at REQUIRED Please fill out this field.
- Student's Information - for additional child:
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Grade
  
  CCD Registered at
- Release
  
  I/We, the parent(s) or guardian(s), give permission for my/our child to participate in the St. Matthias Parish’s Catholic Vision of Love Retreat on Saturday, Oct. 16, 2021, at St. Hugh Church in Carmichaels, PA, from 9:15am to 2:30pm.
  
  I Agree Please select this field.
- Parent's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the Child REQUIRED Please fill out this field.
  
  Parent's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Type of Phone REQUIRED Please fill out this field.
- Parent's Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the Child
  
  Parent's Phone Number Maximum 20 characters Please enter a phone number.
  
  Type of Phone
- Emergency Contact if parent is not available
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to the Child REQUIRED Please fill out this field.
  
  Emergency Contact's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Type of Phone REQUIRED Please fill out this field.
- Person picking up Child if not the parent
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Relationship to the Child
  
  Phone Number of Person picking up Child Maximum 20 characters Please enter a phone number.
  
  Type of Phone
- MEDICAL AUTHORIZATION
  
  In the event of any injury or illness to my/our child during his/her participation in this event, I/we give my/our permission for the necessary medical treatment to my/our child.
  In the event of any injury or illness to my/our child during his/her participation in this event, I/we agree and will apply my/our hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to St. Matthias Parish or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.
  
  Parent's Insurance Company for child REQUIRED Please fill out this field. Please enter valid data.
  
  I Agree Please select this field.
- Consent to Treat
  
  I/We hereby warrant that to the best of my/our knowledge that my/our child is in good health, and I/we assume all responsibility for the health of my child. Of the following statements pertaining to medical matters, check and sign only those in accordance with your wishes ...
  
  1) My/Our child is taking medication at present. My/Our child will bring all such necessary medication and will be well labeled. My/Our child will administer his/her own medication. REQUIRED Please fill out this field.
  
  If yes, please list the medication that your child will have at the Retreat:
  
  There is NO nurse or medical personnel onsite during CCD/CVOL Retreat. Please note if child carries an EPI-pen or other medications.
  
  If child has a special diet, please pack his/her own snack and lunch. Thank you.
  
  2) I/ We hereby grant permission for nonprescription medication (such as Tylenol, throat lozenges, cough syrup, etc.) to be given to my child if deemed advisable. REQUIRED Please fill out this field.
  
  3)_____No medication of any type whether prescription or nonprescription may be administered to my child unless the situation is life-threatening and emergency treatment is required. REQUIRED Please fill out this field.
  
  Any known allergies (i.e. medicine, food, etc.)? REQUIRED Please fill out this field.
  
  Any physical or emotional limitations (i.e. chronic homesickness, fainting, etc.)? REQUIRED Please fill out this field.
  
  If yes, please explain:
  
  COVID MEMO
  ~ COVID-19 symptoms & temperature screenings are be done by ALL parents/guardians at HOME before CCD/CVOL Retreat.
  
  ~ NO child with symptoms should be brought to CCD/CVOL Retreat. For more information on COVID-19, visit websites: CDC or PA.gov or DioPitt.org.
  
  Any Additional Information if needed
Submit

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CVOL Retreat

All Greene County CCD Students in Grades 5 through 8