High School Priest &amp; Religous Lunch

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Participant Information:
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Parish REQUIRED Please fill out this field. Please enter valid data.
School Year REQUIRED 9th 10th 11th 12th Please fill out this field.
Is the participant: Male Female
If you have any dietary restrictions, please list them below.
Parent Information:
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Email of parent/guardian REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Emergency Contact: Name/Phone REQUIRED Please fill out this field. Please enter valid data.
I grant permission for my child to participate in Family Day for Vocations. I will not hold the Roman Catholic Archdiocese of Indianapolis, Inc. responsible in the event of any injury or accident to all my members of my family while participating in Family Day for Vocations. I warrant that, to the best of my knowledge, my family is in good health and able to participate in all program activities. (Please submit a statement indicating limitations and/or conditions of which we should be aware.)
I Agree Please select this field.
I understand that all medication will remain in the possession of the adult team leader (exception: inhaler/epi-pen) and be dispensed as prescribed. Please note that non-prescription medication (such as Tylenol, throat lozenges, cough syrup) will not be available to your child unless you provide them for your child. In case of medical emergency, I understand that every effort will be made to contact parents or guardian of participants. In the event that I cannot be reached, I hereby give permission to the Mission program director to seek treatment for my child. I hereby give permission to the medical staff to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for my child.
I Agree Please select this field.
I understand that my child may be photographed, unidentified in group situations; and I hereby grant permission for my child to be photographed & identified for releases to The Criterion and/or Archdiocesan website and/or other promotions.
I Agree Please select this field.
I understand my above electronic signature constitutes a legal signature confirming all above information to be accurate.
I Agree Please select this field.

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Vocations Office

Archdiocese of Indianapolis

High School Priest & Religous Lunch

REGISTRATION FOR High school Priest & Religious Lunch

Archdiocese of Indianapolis