Encounter 2025

Monday, July 14th – Thursday, July 17th

What is Encounter? Encounter is an amazing summer experience that combines fun, friendship, and spiritual growth!
Dates: July 14-17, 2025
Who can attend? Open to all incoming 6th, 7th, & 8th graders and outgoing 8th graders
Location: Mary Queen Catholic Church
Cost: $50
If financial assistance is required, please reach out to Sarah Kennepohl at skennepohl@maryqueenchurch.org
What Parents Need To Know: There will be an opportunity for a swim day at Mary's Retreat House and a walk to Sno Beach for a snow cone

Total Cost Per Teen: $50

*Please Note: Payment must be made in order for Encounter Registration to be complete.

We cannot hold a spot for your child without payment. Thank you for your understanding.

Encounter Registration

Student First Name

Student Last Name

Gender

Male

Female

Student Age

Student Grade

Incoming 6th grade

Incoming 7th grade

Incoming 8th grade

Outgoing 8th grade

Student T-Shirt Size (shirt sizes are Adult)

Parent First and Last Name

Parent Email

Parent Cell Phone Number

Picture Description

As parent/guardian, I understand that promotional pictures and videos (individual and group) may be taken during AYC. I give permission for my child(ren)'s (named above) pictures to be used for church promotional materials such as newsletters, web pages, social media, calendars, power point presentations, or videos to promote or highlight these activities.

Videography/Photography Consent

Emergency Contact Name

Emergency Contact Phone Number

Student Medical Conditions/Allergies that leaders should be aware of (if none, please write N/A):

Blank Line

Other medical/mental conditions you want us to be aware of

Current medications

Physical limitations

Medicine consent

I hereby Do Not Grant permission for medication of any type , whether prescription or nonprescription may be administered by my child unless the situation is life threatening and emergency treatment is required

I hereby Grant Permission for nonprescription medication (such as Tylenol, throat lozenges, cough syrup, etc) to be given to my child if deemed advisable. I understand that Aspirin will not be given to my son/daughter.

Insurance company

Insurance ID

Insurance Group Number

Free Text

Medical Consent/Liability Waiver

In the event of an emergency, I hereby give permission to the staff of Mary Queen Catholic Church to seek emergency medical transport or treatment for my child(ren) named above. I wish to be advised before further care is given by the hospital or doctor and I understand that all financial obligations are my responsibility. If I cannot be reached please contact the person listed above.

In consideration of my child's participation in Encounter Jr. High Summer Camp on July 14-17, 2025 at Mary Queen Catholic Church, I agree on behalf of myself, my child(ren) named above, and our heirs, successors, and assigns, to indemnify, hold harmless and defend the Archbishop, Joe Vasquez, Archdiocese of Galveston-Houston, Mary Queen Catholic church, its pastor or any representative of Faith Formation or Youth Ministry (collectively the "indemnitees") from any and all injuries, losses or claims arising out of my child's participation in the program. I further agree that if anyone on my child's behalf makes a claim against the indemnitees, I will indemnify, save, and hold harmless each of the indemnitees from any litigation, expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.

Medical Consent/Liability Waiver

Parent Signature & Date

Participant Signature & Date

Total Cost Text

TOTAL COST PER TEEN: $50.00

Deposit Line

Non-Refundable Payment Due Now: $50.00