MISSION TRIP - CONFERENCES
PARENT / GUARDIAN PHONE
VOLUNTEER LAST NAME
IF VOLUNTEER IS UNDER 18 PLEASE PROVIDE
VOLUNTEER FIRST NAME
CHECK ALL THAT APPLY
FRIDAY NOVEMBER 23, 8:30AM-NOON Christmas Decorating for the Veterans. Join us as we help decorate the Veterans Center in Union Grove. We start at 8:30am. Lunch Provided.
Monday December 10, 5pm-7pm- Bell Ringing for the Salvation Army, Our group will be stationed at Festival Foods, 5740, Washington Avenue. We need 4 volunteers for this. Dress warm! Hot Coco Provided.
Wednesday December 12, 5pm-9pm - Help set up, serve and clean up for Our Lady of Guadalupe at St. Patrick 1111 Douglas Avenue.
Monday December 17, 5pm-7pm- Bell Ringing for the Salvation Army, Our group will be stationed at Festival Foods, 5740, Washington Avenue. We need 4 volunteers for this. Dress warm! Hot Coco Provided.
PHOTO RELEASE: I, AFFIRM, that I am the Parent/Legal Guardian of the above referenced child , and I hereby consent that any still or electronic image and/or audio recording, in which I or my child may appear, may be used by ACTS YOUTH MINISTRY, SAINT PATRICK, SAINT RICHARD, SAINT EDWARD AND OUR LADY OF GRACE parish/school and/or by the Archdiocese of Milwaukee. I understand that these materials are being used for promotion of ACTS YOUTH MINISTRY’s Ministry/or Promotional Event/Function: parish/school and/or the Archdiocese of Milwaukee. The images and/or recordings may be used to support recruitment, fundraising, evangelization and other communication efforts. I release the staff and volunteers and I understand and agree that the use of my picture is not an invasion of privacy. Neither I, nor anyone claiming to be speaking on my behalf, will later object to the Archdiocese’s use of this/these photographs.
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EMERGENCY CONTACT PHONE NUMBER
Thank you for Signing Up to volunteer. If you need to cancel, please contact 262.898.5666
I consent to the participation of my CHILD in the above named ACTIVITY. In consideration for my CHILD's participation, I agree to reimburse and indemnify the PARISH/SCHOOL (understood to include ACTS Ministry, St. Patrick, St. Edward, St. Richard, Our Lady of Grace and The Archdiocese of Milwaukee) for all reasonable legal and court fees incurred by the ministry in defending a lawsuit that I or my CHILD may bring against the PARISH/SCHOOL which relates to the above named ACTIVITY if the PARISH/SCHOOL is found not legally liable by the courts and prevails in the lawsuit. If the PARISH/SCHOOL is found legally liable for injuries sustained by CHILD, this paragraph will not apply. I certify that I have an understanding of this agreement and any risks and hazards associated with the ACTIVITY described above that my CHILD will be participating in. I further understand that I had the opportunity to fully discuss this agreement with a representative of the PARISH/SCHOOL to clarify any concerns or questions about the ACTIVITY or this agreement that I may have had.
RELATIONSHIP TO VOLUNTEER
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By checking this box, I certify that I am the Parent/Guardian of the above referenced participant and am 18 years of age or older.
ACTS Racine Youth Ministry © 2013
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