Core Retreat

Join us to be renewed and refreshed as we continue our mission to lead teens closer to Christ.

Renewed in Grace

4-6TH JULY 2025 - SONSHINE RANCH, CLEVEDON

Core Retreat 2025

"*" indicates required fields

KIA ORA! Please complete the form below to register for the 2024 Core Retreat.

Personal Information

Name*

First Name Surname

Email Address*

Mobile*

Home Address*

Street Address Suburb City Postcode

Date of Birth*

DD slash MM slash YYYY

Any allergies and/or dietary requirements?*

Yes

Please select from below:*

Vegetarian

Vegan

Gluten Free / Coeliac

Dairy free / Lactose intolerance

Nut allergy

Seafood allergy

Animals

Other

(Optional) Please explain your dietary requirements/allergies in detail if needed:

If other, please indicate:*

Do you have any medical conditions, neurodivergent needs, or other special considerations we should be aware of?*

Yes

(This may include conditions such as ADHD, autism, anxiety, physical or sensory needs, allergies, chronic health conditions, medication requirements, etc.) All information will be kept confidential and used only to ensure a safe and supportive experience.

Medication & dosages*

Type "Not Applicable" if no medication is required.

If you answered "Yes" above, please let us know how we can best support you.*

(This is especially for those with neurodivergent needs. Feel free to include details about any accommodations, routines, communication preferences, sensory needs, or other important information.)

Are you currently under 18?*

Yes

Mental Health Medication Information

Mental Health*

My child does not take any mental health medication

My child is currently medicated

If your child is under medication for mental health, you may receive a call from a member of St Joseph's Youth team.

Description of Mental Health Condition*

Please include your child’s mental health diagnosis here. When prompted below, provide medication details to help us ensure safe care during the retreat, and let us know if your child self-medicates or needs supervision.

Name of medication(s):*

Dosage and timing:*

Are there any specific instructions, side effects, or emergency protocols we should be aware of?*

Parent / Emergency Contact

Name*

First Name Surname

What is your relationship with this person?*

Mobile*

Email Address*

Parent Full Name*

Parent/Guardian consent

Bullying & Safety Statement (for Parents/Guardians)*

I understand and support St Joseph's Youth group zero-tolerance policy on bullying, and I agree to speak with my child about treating others with kindness and respect.*

St Joseph's Youth is committed to providing a safe, inclusive, and respectful environment for all young people. Bullying of any kind—whether physical, verbal, emotional, or digital—is not tolerated. If your child ever experiences or witnesses bullying, we encourage them to speak with a group leader or trusted adult. Any reports made will be handled confidentially and shared only with staff as needed to ensure your child’s safety and well-being. Please know we take all concerns seriously and are here to support your child.

Photo & Media Consent (for Parents/Guardians)*

I give permission for photos/videos of my child to be taken and used by St Joseph Youth for appropriate group-related purposes.*

During youth group activities and events, we may take photos or videos to capture meaningful moments. These may be used in newsletters, private group communications, or on St Joseph's website or social media. We are committed to using all media respectfully.

Bullying & Safety Statement (for Parents/Guardians)*

I agree to be responsible for any damages caused by my child during the retreat and understand that I may be asked to cover the cost of repairs or replacements.*

This includes any costs related to repairs, replacements, medication or any other expenses incurred on their behalf.

Consent*

I have read the privacy statement and wish to continue with my registration:*

By completing this form, I consent to my information being stored and used for the pastoral and administrative purposes of the Core Team. I understand that my data will be held securely and that I have a right to access my information. I understand that when this information is no longer required for this purpose, my data will be disposed of according to the Public Records Act 2005 (PRA).

Consent*

My parent / guardian signing & dating below indicates that I have read and understand the above.*

Consent (Over 18)

To help maintain a safe, respectful, and supportive environment for everyone, all participants over 18 are required to follow our safeguarding policies and rules. These guidelines protect the well-being of all attendees and ensure a positive experience throughout the retreat.*

I have read, understood, and agree to abide by the safeguarding policies and rules set by the Diocese to ensure a safe and respectful environment for all participants.*

Bullying & Safety Statement (for Parents/Guardians)*

I agree to be financially responsible for any damages I cause during the retreat, including costs for repairs, replacements, or any medication expenses incurred.*

This includes any costs related to repairs, replacements, medication or any other expenses incurred on your behalf.

I have read the privacy statement and wish to continue with my registration:*

Payment

We have tried to keep the retreat costs as minimal as possible and are grateful for the donations that help cover a majority of the expenses. To cover additional costs, the fee for current Core Team members, for General Attendees and current Year 13's is — $140

Please transfer your koha for the retreat to the following account | SJT Youth: 12-3430-0302627-00 | Reference: CR25FirstName | Example: CR25John

Retreat Koha*

Current Core Team

General Registration / Year 13s

Total

We don’t want costs to be a barrier for anyone. If you need financial aid, please contact Sue Fraser for more information.

Total

Click here to view our Autumn-Winter Calendar

learn more

Core Retreat

Renewed in Grace﻿

Core Retreat 2025

Personal Information

Mental Health Medication Information

Parent / Emergency Contact

Parent/Guardian consent

Consent (Over 18)

Payment

Click here to view our Autumn-Winter Calendar

St Joseph's Church

Renewed in Grace