2018 Mission Possible - YOUTH registration

June 9, 16, 23, 30, 2018 | Please fill out this form and click submit.
For the Mission Possible information flyers, please click on this link: https://drive.google.com/open?id=1b7SgGep3W7aPZ5HWoc-K4w_SFX-hNfxU
Due to limited space, priority will first be given to Our Lady of Angels youth. After your Registration form is received, you will be contacted—via e-mail—as to whether you are on the “Participant List” or the “Wait List” for the days you selected (we are limited as to the number of Youth participants, based on the number of “cleared adults” and seat belts in vehicles.)
Youth Information

Info given for youth or parents may be provided to staff and cleared adult volunteers for ministry communications. We may also communicate using social media communications, such as Facebook, text messaging, and email.
 
 
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Parent/Guardian 1 Info

 
 
 
 
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Parent/Guardian 2 or other Emergency Contact

 
 
 
 
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Medical Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medications

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Note about Medications: All Medical Information will be maintained in a strictly confidential manner. Should your child have an Emergency Injection Device (Epi-Pen), Diabetic Condition, Asthmatics with a rescue inhaler, or other special medical conditions, a separate sheet will need to be attached with a clear description as to the nature of the medical condition and any medication. This is important for situations where the youth is not able to self-administer these treatments and to communicate with Emergency Personnel. Ministry leaders, volunteers, and other parish staff are NOT trained to administer these types of emergency medications.
Insurance Information

 
 
 
 
 
Consent to Participate and Liability Release

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Authorization of Consent to Treat a Minor

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Media Consent & Social Media Communications

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Youth Ministry Code of Conduct

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Electronic Signature for Agreements

 
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Dates & Payment Information

Each date is limited to 24 youth participants. You will be notified if your child has been placed on a waiting list.
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Description

June 9, 16, 23, 30, 2018
Please fill out this form and click submit.