2026 Summer Immersion Experience Details Apply before the deadline, attendance will be limited! Make sure all fields are filled, and we hope to see you there! Name(Required) First Last Phone(Required)Email(Required) Travel plans(Required)Indicate your travel mode by selecting one of the options in the drop down menu.I am drivingI will arrive by trainI will arrive by busI will arrive by planeUpload a PDF copy of your travel documents(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 512 MB. Emergency contact name(Required)Emergency contact relationship(Required)Emergency contact phone number(Required)Emergency contact email(Required)Diet and health needs(Required)Please indicate food allergies or other dietary needs. Please indicate any health conditions we should know about.Your close-up(Required)Please upload a headshot-type photo of yourself.Accepted file types: jpg, png, heic, Max. file size: 512 MB. Consent(Required)The Service Immersion Experience week, an experience with Dominican Sisters, will take place on June 16 - 20, 2026, and I would like to participate. In consideration of being allowed to participate in the Service Immersion Experience week, I have freely and voluntarily executed this Waiver, Release of Liability and Photo Release and Consent Form (“Waiver”). By signing this Waiver: (i) I understand that my participation in the Service Immersion Experience week may include certain physical activity that could result in injury, illness, death and/or property damage and I hereby expressly assume the risk of such harm; and (ii) I hereby expressly agree to release forever, discharge and hold the Dominican Sisters of Adrian, Mission San Jose, Peace, Racine, Springfield and Sinsinawa and all of their agents, employees, successors and assigns harmless from all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my participation in the, including but not limited to injury, illness, death and/or property damage. I agree to the below Waiver and Release of LiabilitySignature and Date(Required)