Fiat 2025 Registration

2025 Fiat Retreat: Waitlist Now Open
Thank you for your overwhelming interest in the 2025 Fiat Retreat! We’ve officially reached our maximum capacity. However, you can still register here to be added to our waitlist. Please note that placement on the waitlist does not guarantee a spot. Should a space become available, we will contact you directly via email to confirm your attendance. We appreciate your understanding and look forward to potentially welcoming you.

 

  • PARTICIPANT'S CONTACT INFORMATION

  • ABOUT YOU

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    Note: You must be an incoming 9th grader to outgoing senior to attend this retreat (unless otherwise arranged with the Fiat team)

  • PARENT CONSENT AND CONTACT INFORMATION

    Please complete the parent consent and contact informatio below.

  • QUESTIONS FOR RETREAT

  • PHOTO/VIDEO RELEASE

  • PARTICIPATION ACTVITIY WAIVER

  • TO THE EXTENT PERMITTED BY LAW, I HOLD THE PARISH/SCHOOL AND DIOCESE OF SAN JOSE HARMLESS FROM ANY CLAIM OF INJURY, SICKNESS, ILLNESS OR DAMAGE THAT I /MY CHILD MAY SUFFER OR SUSTAIN DURING THE ACTIVITY LISTED ABOVE, WITH EXCEPTION TO INJURY OF DAMAGES ARISING OUT OF THE SOLE NEGLIGENCE OF THE PARISH/SCHOOL OR DIOCESE OF SAN JOSE. I ATTEST THAT I AM/MY CHILD IS PHYSICALLY FIT TO PARTICIPATE IN THIS EVENT.

    IN THE EVENT THAT I/MY CHILD BECOME(S) ILL OR INJURED, I DO HEREBY CONSENT TO WHATEVER MEDICAL TREATMENT(S), INCLUDING BUT NOT LIMITED TO X-RAY, EXAMINATION, OR HOSPITAL CARE, CONSIDERED NECESSARY IN THE BEST JUDGEMENT OF THE ATTENDING PHYSICIAN AND PERFORMED BY OR UNDER THE SUPERVISION OF A MEMBER OF THE MEDICAL STAFF OF THE HOSPITAL AND/OR OTHER MEDICAL FACILITY PROVIDING THE TREATMENT. I AM NOT AWARE OF ANY MEDICAL CONDITION WHICH WOULD RENDER IT INAPPROPRIATE FOR ME/MY CHILD TO PARTICIPATE IN ANY ACTIVITY ASSOCIATED WITH THIS EVENT.

    I/my child voluntarily serve(s) the PARISH/SCHOOL AND DIOCESE OF SAN JOSE and I acknowledge that, by serving, I am/my child is increasing the risk of exposure to COVID-19. I/my child voluntarily assume full responsibility for any and all risks of illness or injury associated with my/my child’s exposure to COVID-19, or other infectious virus or disease, as well as from use of any protective equipment, including face coverings, that the PARISH/SCHOOL AND DIOCESE OF SAN JOSE may voluntarily provide to me/my child.

    I hereby attest that:
    1. I am/my child is not experiencing any symptoms of illness such as cough, shortness of breath or difficulty of breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
    2. I have/my child has not traveled internationally within the last 14 days.
    3. I have/my child has not traveled to a highly impacted area within the United States of America in the last 14 days.
    4. I do not believe I have/my child has been exposed to someone with a suspected and/or confirmed case of COVID-19.
    5. I have/my child has not been diagnosed with COVID-19 and not yet cleared as non-contagious by state or local public health authorities.
    6. I/my child am/is following all CDC recommended guidelines and limiting my/my child’s exposure to COVID-19.
    I agree that if I am/my child is exhibiting symptoms of illness such as cough, shortness of breath or difficulty of breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell, I/my child will seek prompt medical attention, remain isolated and self-quarantine until I have/my child has been cleared by a medical professional.

    I/my child hereby release and agree to hold PARISH/SCHOOL AND DIOCESE OF SAN JOSE harmless from, and waive on behalf of myself/my child, my heirs, and any personal representatives, any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself/my child and/or property that may be caused by any act, or failure to act of the PARISH/SCHOOL AND DIOCESE OF SAN JOSE, or that may otherwise arise in any way in connection with any Participant services I/my child provide(s) to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE.

    I/my child understand that this release discharges the PARISH/SCHOOL AND DIOCESE OF SAN JOSE from any liability or claim that I/my child, my heirs, or any personal representatives may have against the parish with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any Participant services provided to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE.

    This liability waiver and release extends to the PARISH/SCHOOL AND DIOCESE OF SAN JOSE together with its clergy, staff, and other Participants.

  • MEDICAL INFORMATION

    Please provide participant's Medical Information below:

  • EMERGENCY INFORMATION

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