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Registration and Parent Permission for Youth Events

- a note for families concerning ablaze summer youth group
  
  Ablaze Summer Youth Group: July 10 [Week 5]
  
  Ablaze Summer Youth Group July 17 [week 6]
  
  Ablaze Summer Youth Group July 24 [week 7]
  
  Ablaze Summer Youth Group July 31 [week 8]
- The maximum number of form submissions has been reached. This form is currently not available.
  
  SUMMER YOUTH GROUP EVENT REGISTRATION!
  
  Thank you for registering for Ss. Peter and Paul's Summer Youth Group. These weekly events are being planned in a fluid manner with various options depending on what our Minnesota Covid-19 State guidelines will allow by what dates. After you register, you will receive an email with more information as to our schedule and events! I look forward to connecting with you soon!
  ~ Beverly Miller
  
  Parents
  Thank you for volunteering! Please email Beverly MIller at ssppyouth4u@gmail.com which Fridays you would be available to assist.
  Do you have internet access in your home? Are you an adult who would be available to help drive or chaparone if needed?
  
  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.
  
  Submit

Ss Peter and Paul

Catholic Church

Registration and Parent Permission for Youth Events

a note for families concerning ablaze summer youth group