Parental Permission for Youth - Mission Program 2023
This form is to be completed by a parent of a youth in grade 7-12 that wants to participate in the mission program 2023.
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Youth's name: *
Grade *
Youth's cell phone
Youth's email
Parental Agreement
I, the parent/guardian of the above named youth who is less than nineteen years of age, grant permission for my teen to participate in the 2023 Mission Program as detailed on the Holy Spirit Youth Ministry website and information provided.  I am aware of the particulars of said program and agree that my teen shall abide by the code of conduct and if she/he fails to, he/she may be dismissed from the program. I have discussed with my teen his/her participation in the 2023 mission trip program and support the decision that he/she be involved.  I am willing to provide the means for him/her to be involved in the activities of the said program including the participant’s stewardship activities as outlined.  I acknowledge my teen may be contacted by program leaders using US Postal Service, email, phone (landline or cell), text messaging, website, Twitter, Facebook, Instagram, virtual meeting platforms or similar social networking sites unless I provide, in writing, to the program director exclusion to one or any of these contact methods. Any and all digital networking and communication including, but not limited to, email, texting, Facebook, Twitter, other social networking sites, etc., with parish youth will be ministry related, and NOT personal in nature, restricted to matters concerning classes, youth ministry events, parish events, school events, athletic/event schedules, or registration forms. The person(s) being authorized to communicate with the minor child is in compliance with the Diocesan Safe Environment Policy with this parish.   Please note that virtual meetings may be recorded for parish use.  This form will be filed in a confidential folder for parish use only.
I will regularly check the websites used by Holy Spirit for the latest information about the program.
Parent's Signature *
Required
Parent's Name *
Media Release
I understand that information about the program (including participant’s names) may periodically be included in parish, local, and/or diocesan publications. I understand that photographs or video taken at this program may be used in parish or diocesan publications.
Parent's Signature *
Required
Parent's Phone #: *
Parent's Email address: *
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