Permission Forms and Liability Wavers

Registration for Parish Youth Events Summer Youth Group June 21st Summer Youth Group July 19th Summer Youth Group July 26th Summer Youth Group August 2nd Camp Summit [Leadership] August 3rd Camp Summit [Middle Schoolers] August 5th Summer Youth Group August 16th Summer Youth Group August 23rd

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Age REQUIRED Please fill out this field. Please enter valid data.

Parent or Guardian Name REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Email Address Please enter valid data.

Emergency Contact (name and number) REQUIRED Please fill out this field. Please enter valid data.

Medical Information

Phone Number REQUIRED Please fill out this field. Please enter valid data.

In Consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, I/we assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless the Parish of Ss. Peter and Paul, the Diocese of Winona, its agents, employees, and officers and the chaperones, leaders, organizers, sponsors, and people transporting our child to and/or from these activities.

I here by consent to participation by my child in the event described above. I further consent to the conditions stated above on participation in this event, including the method of transportation.

I Agree Please select this field.

Parent Signature REQUIRED Please fill out this field. Please enter valid data.

Photo Release REQUIRED Ss. Peter and Paul Youth Ministry is allowed to use photos of my child from this event Ss. Peter and Paul Youth Ministry is not allowed to use photos/videos of my child from this event Please fill out this field.