I request that my child(ren), named below, be allowed to participate in Vacation Bible School at Our Lady of Mercy Parish, Aurora, IL on August 2-6, 2021.
I hereby release and indemnify my parish, Our Lady of Mercy, 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 participation in this event.
I certify that no other information previously submitted regarding medical information, insurance information, videotaping and still photographs has changed.
If parent(s) can’t be reached:
Electronic transmission is not encrypted, so if you are concerned about the security of your sensitive information, print the pdf form (uploaded in flocknote) and bring to our office prior to Monday, August 2, 2021.
Date Format: MM slash DD slash YYYY