HOLY FAMILY PARISH STUDENT PERMISSION FORM FOR PARTICIPATION THROUGH THE STORM RETREAT, FEB 2-4 Statement of Consent I hereby consent to participation by my child, _____________________, in the event described in the event flyer/brochure scheduled for 8th gr. Confirmation Through The Storm Retreat. In consideration of my child being allowed to participate in this event, I agree to waive and release, and indemnify and hold harmless Holy Family Parish, any and all affiliated organizations, its/their employees, agents, representatives, volunteers and drivers, from any and all claims I or my child may have, excluding claims for intentional misconduct or gross negligence, arising from or relating to my child’s participation in this event. I authorize Holy Family Parish to obtain necessary medical treatment for my child in case of illness, injury or accident. List allergies, medication, dietary needs, learning needs, contacts, or other pertinent comments that may affect his/her participation in this event. Please also include instructions about these needs for the adult supervisor of this event if applicable. ______________________________________________________________ ______________________________________________________________ During this event, I can be reached at ______________________________ I certify that I am the (check one) __________ custodial parent _________ legal guardian of the minor child named above and I agree to the above terms for myself and for my minor child. Please list any custodial concerns/ agreements which may affect your child’s participation in this event. ______________________________________________________________ ______________________________________________________________ I understand that photographs and video may be taken during this event for future publicity, but would be used without my child’s name, and that by consenting to my child’s participation in the event, I am consenting to said photography and videography. ____________________________________________Print Parent’s Name ____________________________________________Parent’s Signature Please return form by Sunday, January 28 Diocese of Grand Rapids – January 2004 Revised 1/30/07 There are no classes for MS or HS on Sunday, Feb. 4. Enjoy the Superbowl! February 2-4, 2018 Through The Storm Confirmation Retreat How do we weather the storms in our lives? When the waves come, and the winds pick up, will we be able to withstand what comes our way?
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HOLY FAMILY PARISH STUDENT PERMISSION FORM FOR PARTICIPATION
THROUGH THE STORM RETREAT, FEB 2-4 Statement of Consent
I hereby consent to participation by my child, _____________________, in
the event described in the event flyer/brochure scheduled for 8th gr.
Confirmation Through The Storm Retreat.
In consideration of my child being allowed to participate in this event, I
agree to waive and release, and indemnify and hold harmless Holy Family
Parish, any and all affiliated organizations, its/their employees, agents,
representatives, volunteers and drivers, from any and all claims I or my child
may have, excluding claims for intentional misconduct or gross negligence,
arising from or relating to my child’s participation in this event.
I authorize Holy Family Parish to obtain necessary medical treatment for my
child in case of illness, injury or accident. List allergies, medication, dietary
needs, learning needs, contacts, or other pertinent comments that may affect
his/her participation in this event. Please also include instructions about
these needs for the adult supervisor of this event if applicable.
______________________________________________________________
______________________________________________________________
During this event, I can be reached at ______________________________
I certify that I am the (check one) __________ custodial parent _________
legal guardian of the minor child named above and I agree to the above terms
for myself and for my minor child. Please list any custodial concerns/
agreements which may affect your child’s participation in this event.
______________________________________________________________
______________________________________________________________
I understand that photographs and video may be taken during this event for
future publicity, but would be used without my child’s name, and that by
consenting to my child’s participation in the event, I am consenting to said
photography and videography.
____________________________________________Print Parent’s Name
____________________________________________Parent’s Signature
Please return form by Sunday, January 28
Diocese of Grand Rapids – January 2004
Revised 1/30/07
There are no classes for MS or HS on Sunday, Feb. 4. Enjoy the Superbowl!
February 2-4, 2018
Through The Storm Confirmation Retreat
How do we weather the storms in our lives? When the waves come, and the winds pick up, will we be able to
withstand what comes our way?
Through The Storm Retreat Information Where: Holy Family Catholic Parish Dates & Times: Retreat begins on Fri., Feb. 2 at 7:00pm and
ends on Sun., Feb. 4 after the 11AM Mass. Required for complete registration– ALL DUE BY Sun., Jan. 28: Student Registration and Permission Forms Check for $ 15.00 Parishioner (non-refundable) Payable to
Holy Family or use the Giving and Payments link on our website (please note 8th gr retreat). Financial Hardship: We believe retreats are an important part of a student’s faith formation; so no one will be denied participation due to financial hardship. Please call the CFF office to confidentially discuss your needs.
Medical Release (if not previously turned in with CFF 17-18
registration)
Retreat details will be sent via email after your registration,
permission form and payment have been processed.
Questions? Please contact Whitney Cunningham, Coordinator of Middle & High
School Youth Ministry at 891-8867 ext. 226 or by email at
[email protected] or you may speak to Mary in the CFF
office at 891-8867 ext. 230 or by email at [email protected].
Confirmandi and Parents: Please confirm with your Sponsor (or Proxy) that he/she will attend
the retreat on Sat., Feb. 3 from 1-3pm. Thank you
This dynamic weekend retreat was created as a required part of the formation of our 8th grade youth who are preparing for the Sacrament of Confirmation.
We will explore what it means to have Christ as the foundation of our lives & how to get to know Him
more. It is sure to be an amazing time!
Parents: Your help is needed!
Can you be a chaperone? Name: __________________________
___Yes-Friday night ___Yes-Saturday night
___Yes-Both nights ___Yes-Entire retreat
___Yes-Day chaperone ___No
Can you help prepare meals? Name: ________________________
___Yes-Friday 8-9:30p
___Yes-Saturday (circle all availability):
Breakfast 7:30-9a
Lunch 11:30a-1p
Dinner 4:30-7p
___Yes-Sunday Breakfast 7:30-9a
___No
All volunteers must have completed all Diocesan Background Check requirements and have attended a Protecting God’s Children session.
Student Name: ________________________________________________
Parent Name: _________________________________________________
Parent Email: _________________________________________________
Phone: ______________________________________________________
Parent Signature: _________________________________ Date: ________
Registration: Through The Storm Retreat, Feb. 2-4, 2018
Registration and Permission form due by Sunday, Jan. 28
Yes! I have submitted my payment
Yes! I have completed the Permission Form (on the back)
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