Advent Reflection and Children's Celebration


 

We invite you and your family to take a day away from the hustle and bustle of the holiday season to focus on Advent!

 

Must RSVP at Stmonicami.org

By December 4, 2019

 

*Lunch is Included*

 

Registrant
Adult 1
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Adult 2
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Phone Number --
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E-Mail Address
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A copy of your registration will be sent to this address.
Number Attending Lunch?
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Children's Advent Celebration
K-5th Grade
Will there be children attending the Children's Celebration?
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Child's Full Name:
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Age of Child
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Known Allergies, Medical Conditions and Current Medications
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Child 2
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Age of Child
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Known Allergies, Medical Conditions and Current Medications
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Child 3
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Age of Child
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Known Allergies, Medical Conditions and Current Medications
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Child 4
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Age of Child
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Known Allergies, Medical Conditions and Current Medications
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Permission Slip To Attend the Children's Advent Celebration My child(ren)/ward(s), has my permission to attend the Children's Advent Celebration. I understand that neither St. Monica's Church nor its employees and volunteers are liable for any injury sustained by my child while he/she is on St. Monica's Property. I agree to release and hold harmless St. Monica Church and its agents from any and against any and all liability, loss, damages, claims, or actions for bodily injury, and/or property damage, in accordance with current state and federal law, arising out of participation in this trip. I, the undersigned parent or guardian of the minor child/ward, do hereby authorize the adult leaders, teachers, administrators, or other proper agents of the St. Monica Church to act as agent for the under-signed to consent to any X-Ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care for the above minor child which is deemed advisable and to be rendered under the general or special supervision of any physician or surgeon, licensed under the provision of the Medicine-Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, camp, or elsewhere. I agree to be responsible for the cost of such treatment.
Legally binding e-signature (Must Sign to Attend)
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Middle School/High School Volunteer Option
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Name
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Age
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Known Allergies, Medical Conditions and Current Medications
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Permission Slip To Volunteer for the Children's Advent Celebration My child(ren)/ward(s), has my permission to attend the Children's Advent Celebration. I understand that neither St. Monica's Church nor its employees and volunteers are liable for any injury sustained by my child while he/she is on St. Monica's Property. I agree to release and hold harmless St. Monica Church and its agents from any and against any and all liability, loss, damages, claims, or actions for bodily injury, and/or property damage, in accordance with current state and federal law, arising out of participation in this trip. I, the undersigned parent or guardian of the minor child/ward, do hereby authorize the adult leaders, teachers, administrators, or other proper agents of the St. Monica Church to act as agent for the under-signed to consent to any X-Ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care for the above minor child which is deemed advisable and to be rendered under the general or special supervision of any physician or surgeon, licensed under the provision of the Medicine-Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, camp, or elsewhere. I agree to be responsible for the cost of such treatment.
Legally binding e-signature (Must Sign to Attend)
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Spam Capture
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