Roman Catholic 
Diocese of Ogdensburg

Middle School Youth: Impact Weekend 2026

October 2nd to Sunday, October 4th.

Middle School Youth Impact Weekend is a wonderful opportunity for Middle School Youth (6th, 7th and 8th grade) to connect with other Middle School Youth Leaders throughout the Diocese, learn leadership skills, and deepen their faith life.  Please register early, as space is limited. Participants should bring bedding or sleeping bags, pillow, towels, and toiletries along with clothes for the weekend, including a sweatshirt or jacket. 

The cost for this is $100 and this includes all food, lodging, events, and a LW T-Shirt.

If you have any questions and/or concerns please feel free to reach out to the Diocesan Director of Youth Ministry at plooby@rcdony.org.
Upon completion of the form, you will be forwarded to the payment page.  There are options of paying a deposit, paying  the full amount or applying for financial assistance. 

Student Information

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Sex:(*)
Sex:
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Grade 26/27 School Year:(*)
Grade 26/27 School Year:

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T-Shirt Size:(*)
T-Shirt Size:

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Parent/Legal Guardian Information
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If a parent/guardian can not be reached in case of an emergency, please contact:
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Insurance Information

Please note that registrants/attendees are NOT covered for medical issues under the Diocesan insurance policies.  "Camping Insurance" is secondary insurance and is not primary.

Is the Youth covered by health insurance:(*)
Is the Youth covered by health insurance:
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A photocopy of the front and back of your health insurance card must be provided. Please email a copy to lshoen@rcdony.org 

 

Does your Youth have any of the following:(*)
Does your Youth have any of the following:

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Restrictions
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Will the youth be bringing any prescription or over-the-counter medication:(*)
Will the youth be bringing any prescription or over-the-counter medication:
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All medications will be collected and held by a designated staff member and made available for self-administration by the teen when needed.

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By eSigning my name above, I certify the Minor is capable of self-administration of the above listed medication(s) and I understand the staff cannot administer medication during the retreat. 

If the dorms fill up before we receive your registration, do you give permission for your Youth to stay in a platformed tent on the premises:(*)
If the dorms fill up before we receive your registration, do you give permission for your Youth to stay in a platformed tent on the premises:
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General Rules

Boundaries- All participants must remain within the property boundaries and areas of the camp Leadership Weekend. No Alcohol, Illegal Drugs or Tobacco – These substances are prohibited during the Leadership Weekend. Behavior and Dress Code – All participants are expected to behave and dress in an appropriate manner throughout the Leadership Weekend. The following dress code must be followed throughout the Leadership Weekend: no clothing with advertisements for alcohol, drugs or tobacco. No inappropriate slogans or designs. Shirts must cover the midriff. Skirts, dresses or shorts must be no more than five inches above the knee. Respect the Staff – All staff will be given the Participant’s respect, courtesy and cooperation during the Leadership Weekend. Illness or Injury – Any illness or injury during the Leadership Weekend must be reported to a staff member immediately. Cell Phones – No cell phones will be permitted during the Leadership Weekend. Any emergencies should be reported to a staff member. Any serious infraction of the rules will result in a call to the Participant’s Parent/Legal Guardian and possible dismissal from the Leadership Weekend. The Parent/Legal Guardian will be responsible to pick the Participant up from the Leadership Weekend.

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By eSigning my name above, I certify that I have read and understand the General Rules.

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By electronically signing this form, you affirm that you are the parent/legal guardian of the above mentioned Youth and that the information above is correct, including instructions for medications, special diets, allergies, and any other information the staff would need to know to make this a safe weekend for your Youth.

The consent for release of audio, photograph and video for campers must be completed online. Please visit https://rcdony.org/photo to fill out the form.

Are you interested in applying for financial assistance:(*)
Are you interested in applying for financial assistance:
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