Camino de Santiago Experience (St. Augustine College) – Participation Form 04/11/2024 / Formuli - Ministeru maż-Żgħażagħ Information Pack Information Pack Camino de Santiago – St Augustine CollegeDownload Camino de Santiago 2025 St Augustine College FORM A – CONTACT DETAILS and CONSENTContact DetailsName & Surname (according to your passport)(Required) First Last Address(Required) Address Line 1 Address Line 2 City ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands ID Card No.(Required)College Email(Required) Mob. No(Required)*we will add you to a facebook group chat and WhatsApp private group which will make your number visible to all subscribersPlace of Birth (eg: Pietà)(Required)Date of Birth(Required) DD slash MM slash YYYY Passport No.(Required)Expiry Date(Required) DD slash MM slash YYYY Upload a copy of your passport(Required)Max. file size: 32 MB.Health/Medical Information & ConsentAny allergies/dietary requirements that we need to know?(Required) Yes No List the Allergies/dietary requirements here:Any medication that you take?(Required) Yes No List the medications here:Medical Consent(Required)In the event of a medical emergency, I want to be given assistance by a trained First Aider and if I become unable to take my own personal medical decisions during this experience, I give the right to St. Augustine College leading team to take any medical decisions on my behalf. I agreeIn Case of EmergencyName & Surname(Required) First Last Contact No.(Required)Relationship to you(Required)Risk Disclaimer, and other consentRisk Disclaimer(Required)I acknowledge and give consent to travel and participate in this Camino de Santiago Experience 2025 by St. Augustine College (Maltese Augustinian Province) entirely at my own risk. I agree to follow the reasonable instructions of the leader and comply with the rules of this experience. I agreeFit for travelling/Cancellation of Experience(Required)I acknowledge and give consent to travel and participate in this Camino de Santiago Experience 2025 by St. Augustine College (Maltese Augustinian Province) entirely at my own risk. I declare that I presently am or will be sufficiently physically and mentally fit to travel for the purpose by May 2025 before participating in this Camino de Santiago Experience in Portugal & Spain. I have been advised to obtain travel insurance in respect of overseas activities which, under certain circumstances, insures against unforeseen travel issues and risks such as inability to participate in the tour, travel/tourism bankruptcies, cancellations, interruptions, delays, lost/stolen/damaged travel documents and personal property, medical expenses, evacuation and other emergency transportation. I agreeNon-refundable deposit(Required)I understand and agree that I shall secure my participation by paying a non-refundable deposit of €350 (by 15th December 2024) via Bank Transfer which will be deducted from the travel costs. (instructions will be received by email upon completion of this form) Beneficiary Name: St. Augustine College Address: St. Augustine College, Gwardamangia Hill, Pietà PTA1318 Account: 14902691024 IBAN: MT28VALL22013000000014902691024 I agreeGDPR Consent(Required)In valuing the privacy of personal data, St. Augustine College, will use the data collected from this form for the purpose of registering your interest in this Camino de Santiago Experience 2025 only. This will be used to contact you and keep you updated on this Experience and other related youth events. Personal data will be stored, handled and processed, in a respectful and lawful way in accordance with the General Decree on the Protection of Data (GDPD) of 2018 (accessible at: http://thechurchinmalta.org/files/page/GDPD.15348463124.pdf) and the General Data Protection Regulation (EU)2016/679. You have the right to opt out of consent and ask that collected data to be deleted by sending an email to: youths@agostinjani.org or admin@agostinjani.org I give consent to the request of information overleaf by St. Augustine College for administrative, promotional and medical purposes and understand that I may access and amend such information. I agreeName & Surname of the Participant(Required) First Last Date of Application(Required) DD slash MM slash YYYY FORM B – Terms and Conditions of the CAMINO DE SANTIAGO EXPERIENCE 2025Terms and Conditions of the CAMINO DE SANTIAGO EXPERIENCE 2025(Required)BEFORE THE EXPERIENCE • Every person who applies to do this experience is encouraged to participate in the activities organized in preparation for this Camino de Santiago Experience. These activities include, monthly walks, live-ins, moments of prayer, send off mass before the departure and other activities that the group organizes. • It is in the interest of every participant to make the necessary training for this experience COSTS INVOLVED • Every person doing the experience will pay the flights, accomodation and other transfers as a group. These will be booked by the leader who is taking care and not everyone for himself/herself. • Other costs related to lunch, dinner, snacks and other expenses during the experience are paid personally. • Everyone has to pay for his/her own travel insurance. DURING THE EXPERIENCE • St. Augustine College helps the participants to enjoy the experience abroad, however it is important to keep in mind that this is not a luxurious holiday, but an enriching spiritual and human experience. • The experience, in addition to being a long walk with no small physical challenge, is also a spiritual challenge in the form of a pilgrimage together with other pilgrims from all over the world in a community. • Each person is to live this experience in a community by working together as a group in the best possible way and see what is best for the community during that moment. • Every person is encouraged to do everything possible to live in harmony with others so that it is an enriching and remarkable experience for everyone. • This experience will be organized by the leader Fr Terence Spiteri osa together with his assistant who will help and take responsibility in case of emergency. • If any emergencies or decisions arise and decisions need to be taken, during those days of the experience, each person must adapt to what arises according to the decision of the leader together with his assistant after having discussed with the participants. • Every person is asked to take part in all the moments organized by the leader, unless there is a particular reason that is discussed before. • An evaluation of the experience is done daily so that we can discuss what can be changed for the following days. • St. Augustine College is not responsible for what may arise during the walk that is not within its control. SPIRITUAL EXPERIENCE • During the days of the experience, there will be several moments of prayer and sharing of experiences together with celebrations of the Eucharist. • Each day begins with a short moment of prayer and there is a celebration of the Eucharist at various moments throughout the walk. I, the undersigned, have read these points as a guide for the Camino de Santiago Experience 2025 and I participate in this experience according to these terms mentioned above.Name & Surname of the Participant(Required) First Last Date of Application(Required) DD slash MM slash YYYY Administrative PurposesSignature – Fr Terence Spiteri osato be signed when receivedDate of Application(Required) DD slash MM slash YYYY Δ
