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Hershey Park Permission Slip

- HERSHY PARK 2022
  
  Monday, June 20, 2022
  8:30 am - 7:00 pm
  
  Thank you for sharing your time and talent! We hope you enjoy this trip as the parish's way to thank you for everything you do!
  All altar servers must have a parent/guardian complete the permission slip information in the form below. Only servers who already RSVP'd will be able to attend. Parents, please indicate who your server would like to be paired with for this trip. Every effort will be made to accommodate your request. We must have a permission slip for EVERY server.
  Chaperones, please fill out your information in the form below the permission slip.
  Thanks again!
- Parent/Guardian Permission
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  We (I) as parent(s) or legal guardian(s) give permission for my child to participate in the parish sponsored trip to HERSHEY PARK on Monday, JUNE 20, 2021, which includes all related programs and events.
  
  We (I) hereby assume the risk in full for our (my) child’s participation on this parish sponsored trip, and full knowledge of the risks inherent on such trips, release Saint Joseph Parish, the Archbishop of Philadelphia and his successors, the Archdiocese of Philadelphia, and its priests, religious, teachers, aides, employees, agents, administrators, and any other official representatives, from any and all claims, demands, causes of action, damages, liabilities, losses or expenses for any and all personal injury, bodily injury, and/or property damage arising from our (my) child’s participation on this trip and further agree to hold the Parish and the foresaid persons harmless, releasing them from any and all claims, demands, causes of action, damages, liabilities, losses or expenses, as agreed herein, except for medical payments up to $300, or as otherwise described, and provided in the Accident Insurance policy.
  
  We (I) understand and agree that this agreement is for the duration of the trip, and includes any related program(s) or event(s).
  
  We (I), and our (my) child, understand and agree to abide by all rules and regulations established by Saint Joseph Parish pertaining to such trips and agree that such rules and regulations are incorporated herein and form a part of this agreement.
  I Agree Please select this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Best Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Insurance Group # Please enter valid data.
  
  Insurance ID # Please enter valid data.
  
  Altar Server's Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size (all sizes are adult - Small - XXL) REQUIRED Please fill out this field. Please enter valid data.
  
  Name(s) of friend(s) for possible groupings:
  
  Can you chaperone this trip? REQUIRED Please fill out this field.
  
  Chaperone T-Shirt Size (adult size - Small - XXL) Please enter valid data.
  
  Cell Phone Number Please enter valid data.
  
  Email Please enter an email address.
  
  Submit
  
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Hershey Park Permission Slip

HERSHY PARK 2022

Monday, June 20, 2022 8:30 am - 7:00 pm

Monday, June 20, 2022
8:30 am - 7:00 pm