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    Silver Creek Day2019

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    St Augustine Church
    This document is a permission slip for a free event called "Silver Creek Day" being held by St. Augustine Parish on July 24th at Silver Creek Metro Park. Families are invited to bring picnic items and outdoor games to enjoy hiking, Frisbee, swimming (with a $5 day pass) and more. Participants should apply sunblock and bring swimsuits if swimming. The permission slip requires a parent signature giving consent for their child to participate and releases the parish from liability. It also asks for emergency contact information and the number of people attending from the family.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Silver Creek Day2019

    Uploaded by

    St Augustine Church
    108 views1 page
    This document is a permission slip for a free event called "Silver Creek Day" being held by St. Augustine Parish on July 24th at Silver Creek Metro Park. Families are invited to bring picnic items and outdoor games to enjoy hiking, Frisbee, swimming (with a $5 day pass) and more. Participants should apply sunblock and bring swimsuits if swimming. The permission slip requires a parent signature giving consent for their child to participate and releases the parish from liability. It also asks for emergency contact information and the number of people attending from the family.

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    Silver Creek Day 2019

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    This document is a permission slip for a free event called "Silver Creek Day" being held by St. Augustine Parish on July 24th at Silver Creek Metro Park. Families are invited to bring picnic items and outdoor games to enjoy hiking, Frisbee, swimming (with a $5 day pass) and more. Participants should apply sunblock and bring swimsuits if swimming. The permission slip requires a parent signature giving consent for their child to participate and releases the parish from liability. It also asks for emergency contact information and the number of people attending from the family.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    108 views1 page

    Silver Creek Day2019

    Uploaded by

    St Augustine Church
    This document is a permission slip for a free event called "Silver Creek Day" being held by St. Augustine Parish on July 24th at Silver Creek Metro Park. Families are invited to bring picnic items and outdoor games to enjoy hiking, Frisbee, swimming (with a $5 day pass) and more. Participants should apply sunblock and bring swimsuits if swimming. The permission slip requires a parent signature giving consent for their child to participate and releases the parish from liability. It also asks for emergency contact information and the number of people attending from the family.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Silver Creek Day

    (St. Augustine Parish, Barberton)


    WEDNESDAY, July 24, 2019

    This form is due in no later than Monday, July 22.


    Join us for a fun day at Silver Creek! We will meet at Silver Creek Metro Park, 5000 Hametown Rd., Norton, OH
    44203. We will have a picnic, hike, Frisbees, etc.

    This is a FREE event. Families are welcome to join, please indicate how many people are attending at the bottom of this
    form. If you’d like to swim you’ll need to have a pass (a day pass is $5 a person).

    What to Bring:
    Sunblock and any outdoors type of game you’d like to play. If you would like to swim, bring a swimsuit
    and $5 for a pass.

    Please KEEP the top section as your reminder!!

    Please return this section and parent signature by Monday, July 22 to Miss Jackie.

    I, ________________________________, am the ________________________________ of


    (Name of Parent/Guardian) (Father, Mother, etc…)

    _______________________________, a participant in Silver Creek Day.


    (Student’s name)
    I hereby request permission for the above named child/children to attend the St. Augustine trip to paintballing and I consent to the child’s
    participation in this retreat. I understand that I must provide transportation to and from the Church for my child. I hereby assume all risks in
    connection with the youth event and I further release discharge, and/or otherwise indemnity the Diocese of Cleveland, the Bishop of the Roman
    Catholic Diocese of Cleveland, St. Augustine, employees and volunteers from all claims, judgments, liability by or on behalf of my child, my self and
    my spouse for any injury or damage due to the child’s participation in the youth event including all risks connected therewith whether foreseen or
    unforeseen. Furthermore, I acknowledge that it is my responsibility to provide adequate health insurance for my child/children. I understand I have
    the opportunity to call Jaclyn Snyder at 330-745-1080 and ask her about the youth event.

    Child’s Name _____________________________ M/F? Age ____ School _______________

    Address__________________________________ City __________________

    Parent’s Cell/Emergency#__________________ Parent’s E-Mail_____________________________

    Signature of Parent/Guardian_________________________________________

    Allergies _____________________________________________________________________

    Please list any health problems you may have and any medications being taken at the present time. (Confidential)

    ____________________________________________________________________________

    Total number of participants from your family ______________

    YES/NO I give permission to St. Augustine, her staff, and her volunteers to use photos from this event of
    my child(ren) for the website, facebook page, or any other social media as deemed appropriate.

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