Holy Cross Catholic Church

Names *

First Name

Last Name

I'd like to help with... (check all that apply)

Whatever is needed most

Dinner

Crew Leader (small group leader)

Bible Adventures

Imagination Station

Games

KidVid Cinema

Opening & Closing Skits, Activities, Sing & Dance

Donations (food or scholarships)

Your Phone *

(###)

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Emergency Contact Phone *

(###)

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MEDICAL RELEASE: In an emergency, Holy Cross Parish, and its designated representative(s), will seek emergency medical treatment for my child/youth. I agree to hold harmless Holy Cross Parish and said representative(s), from any accident or illness requiring such treatment, and from the results of any such treatment. *

Yes

No

PHOTO RELEASE: I/We, the parent(s)/guardian of the child/youth authorize and give full consent, without limitation or reservation, to Holy Cross Parish, to publish any photograph or video in which the above-named student appears while participating in any program associated with Holy Cross Parish. There will be no compensation for use of any photograph or video at the time of publication or in the future. *

Yes

No