EDGE Retreat 2025 - 2026 | Saint James Parish | Arlington Heights Catholic Church

Registration for EDGE Overnight Retreat FY26

Child Name(Required)

First Last

Is your child currently registered for EDGE?(Required)

Yes

Would you like to chaperone the retreat?(Required)

Yes

You need to be in compliance with the Archdiocese VIRTUS Protecting God's Children program. Reach out to Carly White ([email protected]) for more information

Would you like to apply all contact information, emergency contact information and waivers to their retreat registration?(Required)

Yes

Gender(Required)

Male

Female

Middle School School(Required)

Grade (2025-2026)(Required)

T-Shirt Size(Required)

Are there any youth that you would like your son/daughter to be in a small group or room assignment with?

Please note small groups are divided by gender.

Parent/Guardian Contact Information

Parent/ Guardian Name(Required)

First Last

Relationship to Child(Required)

Mother's Maiden Name(Required)

Sacramental Purposes

Parent/ Guardian Email(Required)

Parent/ Guardian Phone(Required)

Second Parent/ Guardian Name(Required)

First Last

Relationship to Child(Required)

Mother's Maiden Name(Required)

Sacramental Purposes

Second Parent/ Guardian Email(Required)

Second Parent/ Guardian Phone(Required)

In Case of Emergency

Emergency Contact Name(Required)

First Last

Different from parent/guardian listed above.

Emergency Contact Relationship to Child(Required)

Emergency Contact Phone(Required)

Open Doors Ministry

Open Doors Ministry : Open Doors Ministry is here to help support all families and ensure every child has access to faith formation in a peer setting. By voluntarily answering this question you are helping us provide an appropriate classroom environment for all students. This information will be kept confidential.

Does your child have a special need that requires adaptive programming or a one-on-one mentor while they are at EDGE?

Yes

Waivers

Cell Phone Policy(Required)

I agree to the terms and conditions of the cell phone policy.

To maintain a focused, respectful, and engaging environment during our EDGE events, we have established the following policy regarding cell phone use:
Middle school students are not permitted to use cell phones during the EDGE retreat. All phones will be left in dorm room upon arrival, and will remain there at all times. This ensures that phones are kept safe and secure while minimizing distractions during the retreat.

If a student needs to use their phone during the retreat, they must inform a leader.

If a parent or guardian needs to get in touch with their student during the EDGE retreat, the Coordinators of Middle School Youth Ministry will have their cell phone on them at all times and can be reached directly if needed.

Thank you for helping us create a space where everyone can be fully present and connected with one another!

If cell phone policy is not respected, discipline will occur through the same 3 Strike policy found on page 14 in the EDGE/ Confirmation Handbook.

Medical Waiver(Required)

I agree to the terms and conditions of the medical waiver.

If the parents or guardians cannot be contacted in case of serious injury or illness, I authorize St. James Staff to take emergency action deemed necessary, including the transportation of the student to a hospital or medical center. As a parent or guardian, I authorize the treatment by a qualified and licensed medical doctor of the minor(s) listed in this registration in the event of a medical emergency that, in the opinion of the attending physician, may endanger his/her life, cause disfigurement or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.

Please list any known allergies or medical conditions that would affect your child's participation in St. James Youth Ministry programs.

Photo/Media Waiver

I agree to the terms and conditions of the photo/media waiver.

I hereby authorize and give my full consent to St. James Parish the use of my child(ren)’s image (photographs, video, and/or audio) and further agree that St. Jams Parish may use these photographs, video or audio files for promotional materials.

Liability Waiver(Required)

I agree to the terms and conditions of the liability waiver.

I hereby give permission to my son/daughter, mentioned above, to participate in activities sponsored by St. James. I hereby release and indemnify the Archdiocese of Chicago, St. James for this event, its staff and volunteers; and the Catholic Bishop of Chicago, a corporation sole, from any and all liability arising from claims of any kind or nature whatsoever from my child’s participation in the program. I understand that if my child violates any laws regarding possession of alcohol or drugs, or rules governing the event, I will be called and notified about situation and/or arrangements made to send my child home at my expense.

Refund Policy(Required)

I understand the statement below.

Following January 1 due to being in contact with the retreat center there will be no refunds.

Payment

EDGE Retreat Registration(Required)

EDGE Retreat Registration

Registration Options for those who are ALREADY REGISTERED for EDGE at St. James.

EDGE Registration(Required)

EDGE Retreat Registration

Registration Options for those who are NOT REGISTERED for EDGE at St. James

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

Coupon

EDGE Retreat 2025 – 2026

Parent/Guardian Contact Information

In Case of Emergency

Open Doors Ministry

Waivers

Payment

Contact

Location

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