2024 Alpha Reg and Consent Form

Date: Friday, September 20, 2024 - Saturday, September 21, 2024

Location: Carondelet High School Main Campus

Time: The Retreat begins immediately after school and ends the following morning at 10:00 am.

Detailed Information: Alpha 2024 Information

Deadline for Registration: Sept. 6, 2024

Alpha is a core experience of frosh year, eases the transition into high school, and often paves the way for strong friendships and a sense of belonging. This is the only opportunity for Frosh students to attend a retreat. Because Frosh students only have one opportunity for Alpha, and there will be many more practices and games, student-athletes, families and coaches are highly encouraged to prioritize the retreat over practices and games. Students are excused from Carondelet Athletics practices on Friday, Sept. 20th, as long as they talk with their coaches before registering for the retreat.

In order to honor the integrity of the retreat and the cohesiveness of the group, students must attend the entire retreat, from the beginning of the retreat to the end. Please communicate with Campus Ministry staff if your student has a medical reason to attend only part of a retreat.

The cost of retreats is covered in tuition. There is no payment required to register for and attend Alpha! Please note that there is a $100 Late Cancellation Fee for those who cancel within 1 week of the retreat or do not show up (for reasons other than illness).

Student FIRST Name*

Student LAST Name*

Middle School:*

If you're school is not listed, please select "NOT LISTED" at the bottom of the list.

If you selected "NOT LISTED", please type your student's middle school here.

Parent/Guardian 1*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Phone Number - Alternate

Please enter a valid phone number.

Email*

Address*

Street Address

Street Address Line 2

City

Zip Code

Parent/Guardian 2

First NameLast Name

Phone Number

Please enter a valid phone number.

Phone Number - Alternate

Please enter a valid phone number.

Email

Dietary Requests (fill in "Vegetarian", "Vegan" or "Gluten Free", or leave blank)

General Medical Information

Indicate your student's health considerations and some basic medical information.

Carondelet staff can administer over-the-counter medications to my student if needed, including but not limited to: ibuprofen, acetaminophen, benadryl, hydrocortisone, and others).*

YesNo

Special health considerations (allergies, dietary needs, limited physical activity, etc.)

EPI Pen?

YesNo

Medications and dosage

Medical Insurance Plan and Number*

Family Doctor*

Doctor's phone number*

Please enter a valid phone number.

Student's age at time of retreat*

Behavioral Commitment:

Students are expected to behave, both on and off-campus, in a manner consistent with Carondelet High School’s core values. Any conduct both in and out of school that reflects negatively upon the reputation of Carondelet High School may be subject to disciplinary action, including suspension from competitive and extra-curricular activities, school suspension, and or expulsion. Disruptive behavior and/or violations of Carondelet’s core values and behavioral guidelines on retreats may result in a phone call home to parents/guardians and the removal of a student from the retreat.

Drug & Alcohol Policy: Any student found to be in possession of illegal substances, object, paraphernalia materials, items related to the use of, or productions of, illegal substances will face consequences as delineated in the student handbook.
Harassment-Free Policy: Carondelet High School is committed to maintaining a professional and congenial learning environment that respects the dignity of each individual. The school will not tolerate any form of harassment on the basis of race, color, religion, national origin, sex, age, disability, protected activity (i.e., opposition to prohibited discrimination or participation in the statutory process) or any characteristic protected under federal, state, or local law, either in school, or at school-sponsored events/athletic competitions.
Search & Seizure: The administration or designated representatives reserve the right to search and confiscate a student’s person, personal property, or vehicle for illegal substances or weapons at school (both Carondelet High School and or De La Salle High School), or at school-sponsored events and school-wide programs and activities at Carondelet High School and De La Salle High School. Disciplinary incidents that occur on campus will be investigated per school protocols.

Please initial below to indicate that you understand the Behavioral Policies:

Parent/Guardian Signature

I give permission for my child to go on the above-mentioned retreat. In consideration for securing the arrangements, I hereby release and save harmless the school and its agents from any and all liability for any injury that may occur during this trip.

Our permission is hereby given to the school representative of Carondelet High School to authorize, by his/her signature, whatever medical or surgical treatment may be considered necessary or advisable by the physician or nurse in attendance in the event of an accident or medical emergency involving the above named student.

Parent/Guardian Name*

First NameLast Name

Signature*