Events for December 2022

This release and waiver form is for all diocesan-wide programs (outside of any overnight programming) for the 2022-2023 school year.

Participant Information

Participant name(Required)
Participant Address(Required)
(as of 2022-2023 school year)
Parent/Guardian 1 Name(Required)
Parent/Guardian 1 Address
(if different from participant)
Parent/Guardian 2 Name
Parent/Guardian 2 Address
(if different from participant)

Medical information

Please indicate any medical issues we need to be aware of:(Required)
Leave a note in box below with any necessary details
Please leave any additional comments or issues that we need to be aware of during participation in this program.
Emergency Contact 1 Name(Required)
Emergency Contact 2 Name

Waivers and Releases

Publicity
Publicity 2
Liability
Libility 2
Medical