EDGE Retreat Registration

When?
Friday, February 21st at drop off at 6:30 pm
Sunday, February 23rd pick up at 12:30 pm

Where?
Aquinas Catechetical Center
625 Lovers Lane, Steubenville, OH

What should I bring?
**Favorite box of cereal AND favorite snack to share**
Eat dinner before coming
Bible, journal
Warm and athletic clothes, shoes, pillow, sleeping bag, toothbrush, PJs, 

Cost?
Only $10 per person!
Make checks payable to "Holy Family Parish" and put EDGE in the notes.
Bring check to EDGE or to the retreat.

Can I come if I’ve never been to EDGE?
Yes

Can I bring friends?
Yes 

This form is to be used for all Diocesan school or parish sponsored field trips.


PERMISSION TO PARTICIPATE - PART 1

I grant permission for my child, named above, to participate in this school/parish youth ministry event that requires transportation to a location away from the school/parish site. This activity will take place under the guidance and direction of school/parish employees and/or volunteers from:

A BRIEF DESCRIPTION OF THE ACTIVITY FOLLOWS

TYPE OF EVENT: Retreat
DESTINATION OF EVENT: Aquinas Catechetical Center
INDIVIDUAL IN CHARGE: Jacob Konkolics, Fr. Drake McCalister
DATE OF EVENT: Feb 21 - Feb 23
ESTIMATED DEPARTURE TIME: Starts at 6:30pm
ESTIMATED RETURN TIME: Ends 12:30pm
MODE OF TRANSPORTATION: Parents drop/pick up their child off at Aquinas
COST TO PARTICIPANT: $10

ACCEPTANCE OF RESPONSIBILITY
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”).

I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the SCHOOL/PARISH, listed above, its officials, directors and agents, and the DIOCESE OF STEUBENVILLE, chaperones, or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the PARISH/SCHOOL, its officers, directors and agents, and the DIOCESE OF STEUBENVILLE, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses arising in connection therewith.

I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.



MEDICAL MATTERS - PART 2

PLEASE NOTE: The following medical information MUST be provided for each field trip/event including those sponsored by diocesan schools.

SIGN ONLY THOSE THAT ARE APPLICABLE

___________________________________________________________________
EMERGENCY MEDICAL TREATMENT

In the event of an emergency, I hereby give permission to transport my child to a hospital emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:

___________________________________________________________________
OTHER MEDICAL TREATMENT

In the event it comes to the attention of PARISH/SCHOOL, its officers, directors, and agents, and the DIOCESE OF STEUBENVILLE, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself).

___________________________________________________________________
MEDICATIONS (check and complete all that apply)

___________________________________________________________________
SPECIFIC MEDICAL INFORMATION

The PARISH/SCHOOL will take reasonable care to see that the following information will be held in confidence.

 
 

Are You Still Working?

Your time to complete the form is about to expire due to inactivity. Please click "Continue Working" to complete the form and submit, otherwise your changes will be lost.

Your session will expire in 60 seconds.

Your session has expired

Your time to complete the form has expired due to inactivity. Please click the button below or refresh the page with your browser and try again.