Registration and Parent Permission for Youth Events

Parent Permission for Transportation of Child by Parish Staff and/or Volunteer Wednesday Evening Confirmation Class Carpooling January 20th Altar Boy Ice Fishing Trip with Fr. Andrew January 22nd Mass For Life, Owatonna and Ice Skating All Seasons Arena February 18-20, RB Tec Retreat, New Ulm February 25 Pedal Past Poverty July 14-16 Steubenville Youth Conference, Rochester July [22]]24-27 Camp Summit, Lansboro

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.

COVID-19 Disclaimer:
I/we, as inidivuals and as parent(s)/guardian(s) of the above named youth, agree to at all times indemnify, release, hold harmless and defend Saints. Peter and Paul Catholic Church, its affiliats, heirs, successors and assigns, from and against any and all injury occurring to our family, imposed, as a result of arising from, or related to contracting COVID-19, and other novel coronavirus, or any similar contractable or communicable disease related to, arising from or alleged to arise from, or as a direct or indirect result of the Faith Formation and Youth Ministry activities contemplated in this agreement.

General Disclaimer:
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-Rochester, 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.