Vacation Bible School June 2023

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Vacation Bible School June 2023

Vacation Bible School June 2023

: St. Pius V Vacation Bible School 2023 Registration. Pet's Unleashed! Where Jesus Cares "Fur" You! Monday, June 12 through Thursday, June 15, 2023 3:30pm to 5:30pm in the lower level. (We will be outside weather permitting.)
PARENTS/GUARDIANS FULL NAMES
EMAIL ADDRESS
HOME ADDRESS
: Please list all children in grades Pre (age 4) - 4th Grade in fall of 2023 that you would like to attend Vacation Bible School at St. Pius V Monday, June 12 to Wednesday, June 15, 2023 3:30pm to 5:30pm. There is no fee. We encourage youth going into grades 5th through 12th to volunteer to help with Vacation Bible School by being an activity leader, actor/music and crew leaders!
Please email Cindy at [email protected] to volunteer!
CHILD/YOUTH NAME, BIRTHDATE, GRADE IN FALL
CHILD/YOUTH NAME, BIRTHDATE, GRADE IN FALL
EMERGENCY CONTACT NAME AND PHONE NUMBER
EMERGENCY CONTACT RELATION TO CHILD/YOUTH
DOCTOR OR HOSPITAL PREFERRED
By filling out this form, I am agreeing to all the permissions. 1) PARENTS: I GIVE MY PERMISSION FOR MY CHILD/REN to participate in the Church of St. Pius V Vacation Bible School classes/activities. In consideration of my Child’s/ren’s participation, I agree to indemnify the Church of St. Pius V and the Archdiocese of St. Paul/Minneapolis from any claims or law suits brought against the parish/school/ Archdiocese of St. Paul/Minneapolis by myself, my child/ren or others, that arises out of any behavior by my child/ren at the Vacation Bible School classes/activities. I also agree to pay reasonable attorney’s fees or expenses incurred by the Church and copyright all photographs, videos, written extractions, and voice recordings in which my child appears while participating in Vacation Bible School activities for St. Pius V and Archdiocese in defense of such a claim/law suit. 2) CONSENT AND PERMISSION TO TREAT MINOR In the event of an emergency, I give permission to transport my child/ren to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. 3) PHOTOGRAPH/PRESS RELEASE I realize that photographs, videos, written extractions, and voice recordings of program participants may be taken during various activities for the purpose of illustrations, publications, and website. By signing this form, I hereby authorize and give full consent to Church of St. Pius V to publish any Faith Formation/Youth Ministry activities. IN CASE OF INJURY OR ILLNESS YOUR OWN MEDICAL INSURANCE WOULD BE USED. MEDICAL INSURANCE PROVIDED BY THE PARISH OR THE ARCHDIOCESE IS LIMITED AND IN EXCESS TO ANY OTHER VALID AND COLLECTIBLE INSURANCE. I/we understand that participation in activities during Vacation Bible School involve an element of risk, including actual or alleged transmission of a communicable disease and assume all risks and hazards incidental to such participation and do hereby release, indemnify and agree to hold harmless the Archdoicese of St. Paul and Minneapolis, St. Pius V Catholic Church, its agents, employees and officers, and the chaperones, leaders, organizers and sponsor - none shall be held financially responsible for any injury, illness or death incurred as a direct or indirect result of this activity. I/we the undersigned, have read all releases and understand all its terms and execute it voluntarily and with full knowledge of its significance. By printing name, you agree to all above.
: IF YOU HAVE MORE THAN 2 CHILDREN TO REGISTER FOR VBS, PLEASE CONTACT THE OFFICE FOR FURTHER INSTRUCTIONS. [email protected]
DATE
ELECTRONIC SIGNATURE- I give permission for my child/children to attend Vacation Bible School. (By signing your name electronically, you agree to everything above.) I, the signer of this electronic form, give consent that I agree to allow this transaction/permission form to take place electronically.
: Thank you for taking the time to register online!

Vacation Bible School June 2023

St. Pius V Vacation Bible School 2023 Registration. Pet's Unleashed! Where Jesus Cares "Fur" You! Monday, June 12 through Thursday, June 15, 2023 3:30pm to 5:30pm in the lower level. (We will be outside weather permitting.)

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