Workcamp Registration Page "*" indicates required fields Step 1 of 2 50% Student InformationStudents please complete this section.Participant's Name:* First Last Are you already fully registered for this current year's Youth Ministry Program?* Yes, I’m already registered for high school ministry! Yes, I’m a current 8th grader (class of 2030) and already registered for middle school ministry! No, I’m not registered yet. You must be fully registered for our current school year’s high school youth ministry program OR middle school ministry program to participate in this event. Note: If MS, you must be a current 8th grader (class of 2029). For HIGH SCHOOL, please CLICK HERE TO REGISTER (opens a new window for you). For MIDDLE SCHOOL, please CLICK HERE TO REGISTER (opens a new window for you). You must be registered via one of those pages first in order to complete this event registration.Have you completed the youth ministry registration linked above?* Yes, I have completed high school ministry registration. Yes, I have completed middle school ministry registration. No, I have not, and I understand I cannot register for this event until I do. Participant's Home Phone:*Participant's Work Phone:Participant's Cell Phone:Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Participant's Email:* Enter Email Confirm Email School:*HS Graduation Year (2027, 2028, 2029, 2030):*Date of Birth:*MMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender* Male Female Have you attended any previous Workcamps?* Yes No Please List Previous Workcamps:T-Shirt Size (Adult Sizes):* Small Medium Large Extra-Large Is your family registered at All Saints Parish?* Yes No If no, which parish are you registered at?Participant's CommitmentAs a Workcamp participant, I hereby accept the responsibility of fulfilling the registration process, which includes: * Non-refundable Initial Deposit of $100 due upon registration (deposit will be held until participation is confirmed by All Saints) * Complete and return all registration materials and fees on time. * Participate in the January fundraising and Planning Meeting in order to prepare for Workcamp * Participate in all fundraising activities in order to build community and make the required minimum contribution as described in Workcamp Registration Information. If my participation in fundraising falls short of the required minimum contribution, I agree to remit the remaining amount to All Saints Church by April 30, 2026 or relinquish my spot. * To provide the necessary tools for my duties at WorkCamp. Furthermore, I hereby make a personal commitment to participate fully in the Workcamp experience and abide by the rules of conduct established by the Arlington Diocesan Youth Office and the All Saints Workcamp Team. Participant Signature:*Please agree to the above-described conditions of your particpant involvement. To acknowledge acceptance, please sign in the box above using your mouse (or your finger if you’re on a tablet).Print Your Name:* Parent/Guardian InformationParents/guardians please complete this section.Parent/Guardian Name:* First Last Parent/Guardian Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian Home Phone:*Parent/Guardian Work Phone:Parent/Guardian Cell Phone:Parent/Guardian Home Email:* Enter Email Confirm Email Parent/Guardian Work Email: Enter Email Confirm Email Is there a Second Parent/Guardian to register?* Yes No Second Parent/Guardian Name: First Last Is the Second Parent/Guardian's mailing address the same? Yes No Second Parent/Guardian Mailing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Second Parent/Guardian Home Phone:Second Parent/Guardian Work Phone:Second Parent/Guardian Cell Phone:Second Parent/Guardian Home Email: Enter Email Confirm Email Second Parent/Guardian Work Email: Enter Email Confirm Email This field is hidden when viewing the form**PARENT VOLUNTEERING**In order to make this trip a complete success, we must rely heavily on our Parents, thus making volunteering MANDATORY. The following areas are where great assistance is needed. Please indicate where you would like to lend your support. This field is hidden when viewing the formNeed ADULT LEADERS for Fundraising and Workcamp SupportThis field is hidden when viewing the formCheck All That Apply: After-Mass Mulch Sales Coordinator Mulch Spreading Coordinator Mulch Delivery Route Coordinator Mulch Delivery Day Dispatch Manager Mulch Delivery Day Yard Manager Mulch Driver of Teens (Virtus-Approved) Mulch Delivery Home Base Support Mulch Delivery Labor/Yard Support Mulch Delivery PENSKE Truck Driver Mulch Delivery PERSONAL Truck Driver Workcamp Vehicle Return Coordinator Health InformationFamily Physician:Physician Phone:Any conditions or allergies (food, etc.) which may affect the participant's involvement in the event?* Yes No Please list any medical concerns (e.g. allergies) that your child has and that we need to be aware of:Any physician prescribed or other medication which the participant may be taking during the event?* Yes No Please provide name, dosage, and potential side effects of medication(s):Parental Permission & Liability Release:As parent/legal guardian of the child-participant, I (we) hereby give my (our) permission for him or her to participate in All Saints Workcamp as described here and as described in All Saints Workcamp Registration Information. Furthermore, I (we) guarantee deposit payment and required minimum financial contribution (contingent upon fundraising) by the published deadlines. On behalf of my (our) child participant, I (we) do hereby release, forever discharge and agree to hold harmless All Saints Catholic Church, its directors, officers, employees, and agents thereof, from any and all liability, claims and demands for personal injury, sickness and death as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned or the child-participant resulting from said child-participant’s involvement in the Workcamp named above (including fundraising events and meetings as well as transportation between the child-participant’s home, All Saints Catholic Church, fundraising events, meetings, the Workcamp site, and supervised excursions from the Workcamp site). Furthermore, I (we) on behalf of my (our) child-participant hereby assume all risk of personal injury, sickness, death, damage and expense as a result of his or her involvement in Workcamp as set forth. Further, authorization and permission are hereby given to All Saints Catholic Church to furnish any necessary transportation, food, and lodging for my (our) child-participant when he or she is participating in All Saints Workcamp and All Saints Workcamp related activities. Parent/Guardian Signature:*Please agree to the terms & conditions of the participant’s involvement in the above-described event. To acknowledge acceptance, please sign in the box above using your mouse (or your finger if you’re on a tablet).Print Your Name:*PaymentHS Workcamp Initial DepositCan you help save time & pay the initial deposit online right now?* Yes, I’ll save time and pay securely right now! No, I’ll give you a check. NOTE: Because of the great popularity of this event, your registration is not confirmed until we have received payment. (Our online payment system is 100% safe and secure. We do NOT store any of your credit card information. We respect your privacy!)Billing DetailsCredit CardCard Details Cardholder Name Billing Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Email: Total: Check Payment InstructionsPlease make your check payable to “All Saints Youth Ministry” Drop off in person: All Saints School or Parish Office. Or mail to: All Saints Youth Ministry, 9300 Stonewall Rd, Manassas, VA 20110 Remember, because of the great popularity of this event, your registration is not confirmed until we have received payment.Total Due:
