UPPER SCHOOL OVERNIGHT RETREAT
FIELD TRIP/ACTIVITY PERMISSION SLIP

Name & Date of Field Trip: Upper School Overnight Retreat

Description & Objectives:
Students will take part in an optional overnight spiritual retreat at Simpsonwood Lodge and Retreat Center in Norcross, GA. Students should bring: Journal, Bible, Comfortable clothing, tennis shoes, extra changes of clothes, sweatshirt or light jacket, towel, personal bathroom items, sunscreen, bug spray. NO I-POD’s, Video Games or other electronic devices. There will be a designated time in which students will be allowed to use cell phones to call home. Except for this time cell phones will remain off.

***All high school students are required to participate in at least one overnight retreat during the year.  9th and 12th grade students have already met the minimum requirement.  10th and 11th grade students must attend one of the optional retreats. 

Teacher(s) in charge (subject to change): Mrs. Curtin and Miss Sloan  

Estimated Time of Departure:  Saturday of the Selected Retreat Date Below @ 12:30 p.m.

Estimated Time of Return:  Sunday of the Selected Retreat Date Below @ 4:30 p.m. 

Cost: $75 for  The cost of the retreat is free for 10th & 11th graders and $75 for all other grades. (If a student is unable to attend due to financial hardship they should see Mr. Genner as there are limited scholarship funds available for this purpose.)

Date of Field Trip:  Select Date Below

Dress Code for this event is: Casual Clothing (refer to student handbook for guidelines)

Student Name:   Grade:  

Select Retreat Weekend: 

Medical Conditions or Special Notes:

I am the parent or guardian of above said student. (Only Parent or Guardian may submit this form).

Parent/Guardian Name:  

Parent/Guardian Home Phone Number:  

Parent/Guardian Cell Phone / Pager Number:  

Online Registration Indicates Acceptance of the Following Consent and
Emergency Medical Release Statement:
I hereby give permission for my child listed above to attend to attend the Overnight Retreat field trip on the scheduled (or any rescheduled) day and to be transported by school bus, private bus, public transportation, van or private vehicle(s) as determined by the school. For myself and the named child; I hereby waive and release any claim against Holy Spirit Preparatory School and its board, employees, servants and agents for any injury or loss incurred by my child during the field trip (save for any personal injury directly resulting from gross negligence on the part of the school) and agree to indemnify the school against any expenses, loss or damages incurred as a consequence of any action or inappropriate inaction on the part of my child. I confirm that there are no medical or other circumstances that should be known to the chaperone(s) that are not noted in the Medical Conditions or Special Notes box above.

This Student's Registration will not be complete until your payment is submitted (if required) on the following screen.