Lakehouse Registration Form

Lake House meets on Wednesday nights during the school year, beginning with Mass at 6:00 PM. Supervised by the Youth Ministry Coordinator and supported by Adult Volunteers, “Lifeguard” Peer Leaders guide fellow high school students in an engaging journey of prayer. High School students are given opportunities to grow closer to Christ through Masses, small group discussions, guest speakers, games, concerts, outdoor adventures, service opportunities, retreats, and mission trips. Parents participate by working in teams to provide Wednesday night Lake House dinners. To join our youth ministry team, contact the Youth Ministry Coordinator, Phillip Baker at 615-824-3276 ext. 3903.
Participant Information

 
 
 
 
 
 
 
 
 
 
Please select all that apply.
 
Please select one option.
 
 
Parent/Guardian Information

 
 
 
 
 
 
Please select all that apply.
Emergency Contact Information

Name and phone number of an adult to reach in case of emergency in the event that you cannot be reached at the numbers above.
 
 
Medical Authorization

I understand that the Catholic Diocese of Nashville and Our Lady of the Lake assume no responsibility for accidents which may occur in association with diocesan events and activities.  I agree to use my/our personal insurance to cover any such incidents.  I understand that, in the event medical intervention is needed, every attempt will be made to contact the persons listed above.  In the event those individuals cannot be reached, I/We hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia, or surgery for Participant as deemed necessary.

Permission for Other Medical Matters

In the event it comes to the attention of the Diocesan and/or parish chaperones that my child complains of illness, I grant permission for non-prescription medication (such as Tylenol, lozenges, etc.) to be given to participant.

Please select all that apply.
Photo Release

I hereby authorize the Catholic Diocese of Nashville, Our Lady of the Lake  and it’s agents to utilize photographic and/or video images of me or my child by the Catholic Diocese of Nashville or Our Lady of the Lake. In giving my consent, I hereby indemnify and hold harmless the Catholic Diocese of Nashville, Our Lady of the Lake and it’s agents from any and all responsibility of liability.  I understand that I will receive no compensation should any photograph and/or video of me or my child be used.

Please select all that apply.
 
Payment

The Lakehouse registration fee is $30 per participant.  This fee helps offset the cost of the program.  If this fee presents an economic hardship on your family, please register your student and then contact Phillip Baker at 615-338-3903.  You can pay your fee online by clicking on the link below or you can send in cash or a check made payable to Our Lady of the Lake.  Please put Lakehouse in the memo line.

Please click on the below link to be redirected to our online donation/payment page.

https://ololcconline.com/donate

Description

Lake House meets on Wednesday nights during the school year, beginning with Mass at 6:00 PM. Supervised by the Youth Ministry Coordinator and supported by Adult Volunteers, “Lifeguard” Peer Leaders guide fellow high school students in an engaging journey of prayer. High School students are given opportunities to grow closer to Christ through Masses, small group discussions, guest speakers, games, concerts, outdoor adventures, service opportunities, retreats, and mission trips. Parents participate by working in teams to provide Wednesday night Lake House dinners. To join our youth ministry team, contact the Youth Ministry Coordinator, Phillip Baker at 615-824-3276 ext. 3903.