Immaculate Conception Church Holiday World Youth Ministry Permission Slip

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July 20, 2022

Email *

Youth Ministry Rules and Guidelines

1. I will respect the right of each person to participate and have fun.
2. I will conduct myself in a responsible manner. I will use age-appropriate language. No cursing. No purple (kissing, holding hands, public displays of affection, etc.)! No risk-taking or dangerous activities!
3. I will be drug free (this includes alcohol and tobacco).
4. I will be respectful to, and cooperate with, all adults who are present.
5. I will remain in the youth building or the other chosen area or facility until the event is over.
6. I will be responsible for any guest I bring and will inform him/her of the Youth Ministry rules.
7. I will be responsible for my own belongings (phones, clothing, etc.)
8. I will dress appropriately. Girls: No short shorts, no revealing or low-cut tops, Guys: no shirts with the sides cut out, etc. If you are in doubt about a clothing choice, do not wear it!
9. I will follow additional rules tailored for each specific event.
10. I will help clean up at the designated time.

FAILURE TO COMPLY WITH THESE RULES MEANS IMMEDIATE DISMISSAL FROM THE YOUTH MINISTRY FUNCTION. ** YOUTH VIOLATING RULES WILL BE SENT HOME, AND IF WE ARE OUT OF TOWN, IT WILL BE AT THE PARENTS’ EXPENSE. THE STUDENT WILL NOT BE PERMITTED TO RETURN UNTIL THE MATTER HAS BEEN RESOLVED WITH THE DIRECTOR OF YOUTH MINISTRY, THE YOUTH AND THE PARENT OF THE YOUTH. NO YOUTH WILL BE ALLOWED TO ATTEND ANY YOUTH MINISTRY FUNCTION WITHOUT THIS SIGNED PERMISSION SLIP AND ANNUAL MEDICAL RELEASE FORM (SEE BACK OF THIS FORM).

My child agree to comply with the above rules and guidelines *

I agree

Required

Home Address (Street Address, City, State and Zip Code) *

Parent/Guardian Phone Number *

Child's School and Grade *

Child's Birthdate *

YYYY

Child's Cell Phone Number *

Permission to send youth group updates to youth on cell phone via text messages *

Yes

Required

Permission to photograph youth and use photos on social media and parish website *

Yes

Required

Parent/Guardian Digital Signature

As the parent/guardian of the aforementioned child request that my child be allowed to participate in the Holiday World trip on Wednesday, July 20th, 2022 from 8am until 11pm I further give my permission for my child (children) to ride in any vehicle designated by the adult in whose care my child (children) has been entrusted while participating in the above activities. In consideration of permitting my child to attend and/or participate, I do hereby, for myself and my child (children) waive and release any and all claims that I might have against Bill Ash, Director of Youth Ministry, Father Robert Barnell, Pastor, or any employee or volunteer of Immaculate Conception, the institution of Immaculate Conception, the Archdiocese of Louisville and any designated driver of a van, bus, car, or other vehicle, for any and all injuries or losses suffered by said child (children) while engaged in the above activities.

Parent/Guardian Digital Signature *

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