Youth Ministry Urban Air Event

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St. Gianna Youth Ministry
Urban Air Party with other Youth Ministry programs

When: Friday, March 15, 2024 7-9pm

Where: Urban Air Adventure Park [19800 S. La Grange Road, Mokena, IL. 60448]

Check the Urban Air Adventure Park Website Here

*We will meet at Urban Air*

Who: All Jr. High-High School teens are invited.

Cost: $36 per person includes admission, pizza, and pop.

Registration Deadline is Tuesday, March 12th.

Payment can be submitted online at Give Central at this link:

https://www.givecentral.org/location/382/event/20994

OR payment can be submitted by check or cash c/o Tina O'Shea Creed by the day of the event Friday 3/15. Checks made payable to St. Gianna Parish

Questions? Contact Tina O'Shea Creed
tina@mystgianna.org

Email *

Participant's Full Name *

I give permission for the Youth Minister to electronically communicate with my minor; this includes cell phones (calls & texts), emails, & social medial networking sites *

Yes

Participant's Email

Participant's Cell Phone Number

Parent Name *

Parent Cell Phone Number *

Emergency Contact Name [Different from above.] *

Emergency Contact Number [Different from above.] *

Food Allergies or Dietary Restrictions? List any health conditions/allergies or physical limitations. [N/A if none] *

I understand that bringing or use of any drugs, tobacco/vape products or alcohol will NOT be tolerated, and if my child violates any of the rules which have been established, I will have to pick them up at my own cost without refund. *

Yes

I understand that bringing or use of any fireworks or weapons of any kind will NOT be tolerated, and if my child violates any of the rules which have been established, I will have to pick them up at my own cost without refund. *

Yes

I give my permission for any photos or videos taken to be published on Parish Website, Bulletin, and/or Social Media. *

Yes

I understand that transportation WILL NOT be provided and it is my responsibility to provide/find transportation for my child. *

Yes

I am an adult 21 or older who is in compliance with Protecting God's Children and able to stay at Urban Air from 7-9pm on March 15th to help oversee the group. *

Yes

Granting Permission: My child has permission to attend this event. I request that St. Gianna Youth Ministry, hosting parishes, and their agents allow my child to participate in the following sponsored activity at Urban Air Adventure Park. The Catholic Bishops of Chicago and St. Gianna Parish, their agents and volunteers are committed to conducting programs & activities in the safest manner possible and hold the safety of participants in the highest regard. Participants and parents registering their child in these programs must recognize however that there is an inherent risk of injury when choosing to participate in such activities. The Catholic Bishops of Chicago, St. Gianna Parish, and their agents insist participants follow safety rules and instructions, which are designed to protect their safety. Please recognize that the Catholic Bishops of Chicago and St. Gianna Parish do not carry medical accident insurance for injuries sustained in this program. Therefore, people registering should review their own health insurance policy for coverage. It must be noted that the absence of health insurance coverage does not make the Catholic Bishops of Chicago, St. Gianna Parish, or their agents automatically responsible for payment for medical expenses. Please read this carefully & be aware you are waiving all claims for injuries or sickness you or your minor might sustain arising out of participation. I understand that the activity will take place on the parish premises and that my child will be under supervision. (Activities where there is physical activity such as outdoors or sporting activities have an inherent risk to sprained ankles, muscle pulls, bruises, back, neck and head injuries, and including death). I further consent to the conditions stated on participation in this event, I hereby release and indemnify St. Gianna Parish and their agents, its staff and its volunteers, and Catholic Bishop of Chicago, a corporation sole, from any and all liability rising from claims of any kind of nature whatsoever from my child’s participation in this event. *

Yes

Required

I understand there is an additional release form with Urban Air Adventure Park that must be completed and I will receive further direction after completing this form. My child will not be able to participate if this release form is not submitted. [Release Form reads for Our Lady of the Woods Church]. *

Yes

I understand payment can be submitted online by following this line:

https://www.givecentral.org/location/382/event/20994 or to the Parish Office c/o Tina O'Shea Creed. Cash or check can be submitted. Checks made payable to St. Gianna Parish.

Yes

Required

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