01. Participant Details

02. Emergency Contacts

03. Participant Medical Information

04. Declaration

Re-Encounter 2024

Young people between the ages of 18-30 are invited to Re-Encounter, a weekend spent coming together as a community to share in the charism of St Eugene!

The Re-Encounter weekend will take place from July 12th-14th, 2024. This year, Re-Encounter will be held in South Australia at Our Lady of Hope in Greenwith. In light of 2024 being declared a year of prayer by Pope Francis, we will take the opportunity to spend time reflecting on the importance of prayer in our lives and in the life of our founder St Eugene de Mazenod.

Re-Encounter begins on Friday evening and concludes midday Sunday. It is a requirement of the retreat that all participants arrive on Friday evening, including those living in South Australia.

Cost
$65 - South Australian participants
$35 - Interstate participants
The cost includes airport transfers, homestay accommodation, lunch and team building activity. Participants will be required to pay for their own dinner on Saturday night.

Accommodation
Those traveling from interstate will be billeted with families in the local parish. Interstate participants who do not wish to be billeted can arrange their own hotel accommodation.

Airport Pick-Ups/Drop-Off's
There will be one Airport pick-up on Friday 12th July. This pickup will depart the airport no later than 7pm.

We have one drop off planned for Sunday which will be after lunch.

If you require lifts outside of these times, please let us know well in advance and we will do our best to accommodate you.

TO ASSIST US WITH ORGANISING HOMESTAYS AND CATERING PLEASE REGISTER BY 1ST JULY!

If you have any questions or need more info, please call or text Emma on 0422705230.

REGISTRATION

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Email

Mobile Phone

Home Phone

Address

Date of Birth

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01. Participant Details

02. Emergency Contacts

03. Participant Medical Information

04. Declaration

Re-Encounter 2024

EMERGENCY CONTACTS

Primary Emergency Contact

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Title

Relationship

Mobile Phone

Home Phone

Work Phone

Address

Active Email

Secondary Emergency Contact

Name

Title

Relationship

Mobile Phone

Home Phone

Work Phone

Address

Active Email

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01. Participant Details

02. Emergency Contacts

03. Participant Medical Information

04. Declaration

Re-Encounter 2024

PARTICIPANT INFORMATION

The information below is requested to assist in case of illness or accident. This information must be completed with the utmost accuracy and will be held in confidence by Oblate Youth Australia.

Do you/your child receive regular medical treatment from a doctor?

Yes

No

If yes, for what condition?

Please indicate any illness/disabilities that you/your child experience of which the organisers and leaders of the event should be aware (e.g. asthma, mental illness, depression, physical disability, epilepsy, diabetes etc.)

Do you/your child have any special needs the organisers or leaders need to be aware of?

Are you/is your child currently taking any medication? If so, please provide details.

Please indicate any allergies:

Please indicate any dietary requirements:

Please indicate any phobias:

Are you/is your child a capable swimmer?

Yes

No

Please provide your medicare number:

Any additional health benefits/insurance?

Are you/is your child covered by an Ambulance service?

Yes

No

Blood Type (if known):

Last tetanus immunisation (if known):

Do you consent to pain killers (paracetamol/ibuprofen) to be provided to you/your child if necessary?

Yes

No

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01. Participant Details

02. Emergency Contacts

03. Participant Medical Information

04. Declaration

Re-Encounter 2024

PARTICIPANT DECLARATION

Photo & Video Consent

During the course of the event, photographs and video footage will be captured, with these videos and images being shared accross multiple social media platforms and used in future promotional materials, both online and print. Do you consent to being filmed and photographed during the event?

Yes

No

Declaration

I confirm I will be attending and participating in the Re-Encounter Weekend in South Australia from 12th-14th July 2024 and confirm that all details provided in the medical form are correct and up to date. I authorise the person in charge to consent to medical or surgical treatment as may be deemed necessary for me, where it is impracticable for prior communication with me/or the emergency contacts. The particulars given on the confidential medical report above are correct. I am also aware that alcohol may be present and consumed by other participants at the dinner on Saturday 9th September.

Electronic signature

Verification

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