Religious Education Leaders

We want you pop art slogan Art Decor adesivo paraurti 12 x 12 cm

We are looking for High School Student Leaders

for the 2022-2023 Religious Education Program

In order to help our new program be successful, we need high school students to partner

Youth Ministry with Religious Education as leaders and help make a skit, play games, and in our craft room.

Volunteers are needed once a month

on Wednesday evenings from 5:45 pm - 7:30 pm.

We are flexible, you do not need to commit to every month.

If you are interested in volunteering keep reading....

Dates for the 2022-2023 School Year - TBA

ALMOST DONE....

: Registration and Authorization - Religious Education Leader
Participant's First Name
Participant's Last Name
Participant's Email Address
Cellphone Number of participant
Home Address
City
State
Zip Code
School
Current Grade in School: 12th grade11th grade10th grade9th grade
Parish (or church name if member of a church)
Birthdate mm/dd/yy

Parents Name
Parents Cellphone number
Parents email address

: Emergency Contact - If patent cannot be reached
Emergency Contact Name
Emergency Contact Phone Number

: INSURANCE INFORMATION
Policy in the name of:
Insurance Company
Name of Physician
Physician phone number

: MEDICAL PERMISSION FORM
Specific medical allergies, dietary restrictions, chronic illness, or conditions: (type none if none apply)
List of any medications currently using (type none if none are taken)
Authorization: By checking this box I request that my child be allowed to participate in the Religious Education Program. I hereby release and indemnify Maternity BVM Church, its staff, volunteers, and the Diocese of Joliet from any and all liability arising from claims of any kind or nature whatsoever from my child's participate in this event. I understand that my child is responsible for following certain rules and regulations that are designed for their safety while taking part in this program.
Code of Conduct: By checking this box I understand that the following Code of Conduct must be followed: Arrive on time. Demonstrate common courtesy and respect at all times. Inappropriate language/behavior will not be tolerated. Socialize in public areas. Dress modestly. Writing on clothing should reflect Christian values. The possession or consumption of any alcoholic beverage and/or possession/use of any illegal drug is not permitted. Smoking or vaping is not allowed. Weapons and/or drug paraphernalia are not allowed. If under the age of 18, prescription drugs need to be given to an adult from our parish for storage and distribution. Infraction of any of these rules can mean immediate dismissal with no refund. Participants will be responsible to local authorities as well. I understand and agree to this Code of Behavior. I also understand and agree that at the time of infraction requiring my child's dismissal, I am responsible for my child's removal from the premises and any costs involved.
Medical Authorization: By checking this box I grant permission for the administration of First Aid to my child by the people in charge of this trip and those transporting my child to and from as their judgement deems advisable, and to make the necessary referrals to qualified physicians for treatment of illness or accidents of a more serious nature. I understand that I will be promptly notified in the event of any serious illness or accident and prior to any major surgery, except when delay in such communication would endanger life. In case of medical emergency, I understand that every effort will be made to contact the parent/guardian of the participant. In the event that I cannot be reached, I hereby give permission to the physicians selected by the adult staff/volunteer to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery, if deemed necessary for the child.
Use of Photographs/Videos for Marketing Purposes Permissions: I grant permission for my child to be photographed or videotaped or the purpose of promotional efforts on the church's social media, website and/or newsletter and bulletin.Video, and photographs may be taken during this event. This authorization form constitutes permission for my child's participation in the videotape and/or still photographs, which may be used for future promotional efforts, including the Diocese of Joliet website. As well as permission to participate in virtual platforms such as Zoom, Google, Seesaw etc. for the purpose of programmic content

for more information contact Maria Pallissard (815) 933-8286 ext. 326

Religious Education Leaders

Registration and Authorization - Religious Education Leader

Emergency Contact - If patent cannot be reached

INSURANCE INFORMATION

MEDICAL PERMISSION FORM

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