April 30th, 2021 Field Trip Parental Consent Form & Indemnity AgreementField Trip Parental Consent Form & Indemnity Agreement • March 10th, 2021
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold parish/school/Mary, Mother of the Church/and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify the parish/school/Mary, Mother of the Church and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the parish/school /Mary, Mother of the Church and Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school/Mary, Mother of the Church and the Archdiocese in defense of such a claim/suit.
October 24, 2020 Field Trip Parental Consent Form & Indemnity AgreementField Trip Parental Consent Form & Indemnity Agreement • July 13th, 2020
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold parish/school and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify the parish/school and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the parish/school /Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • April 13th, 2023
Individual(s)/Teacher(s) in Charge Eric Duffy, Epiphany High School Youth Minister Estimated Time of Departure TBD on 7/18/18 Return TBD on 7/24/18
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • June 8th, 2018
Home Phone Business Phone Date of Event/Field Trip October 27, 2018 Type of Field Trip Archdiocesan Youth Day Destination Roy Wilkins Auditorium, River Center, St. Paul, MN Individual(s)/Teacher(s) in Charge Mrs. Kathy Chlan
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • December 3rd, 2023
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENT For Day TripsField Trip Parental Consent Form & Indemnity Agreement • May 16th, 2024
Date of event: June 19, 2024 Destination of event: _1 Valleyfair Drive, Shakopee, MN Student Cost: $50 Student T-Shirt size: _NA Individual in charge: Matt Belford Estimated time of departure: 9:00 am Estimated time of return: _ 5:00 pm
November 16, 2019 Field Trip Parental Consent Form & Indemnity AgreementField Trip Parental Consent Form & Indemnity Agreement • April 17th, 2019
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • December 11th, 2016
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • November 21st, 2021
Individual(s)/Teacher(s) in Charge Eric Duffy, Epiphany High School Youth Minister Estimated Time of Departure Meet at 4pm (Bring food on bus)
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • September 23rd, 2019
Student/Participant Name Date of Birth Grade: Gender: M or F Parent(s)/Guardian(s) Name(s) Home Address Main Phone Other Phone Email:
An Epiphany 9th-12th Grade Youth Conference Friday June 18th – Sunday, June 20th FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTField Trip Parental Consent Form & Indemnity Agreement • April 15th, 2021
Student/Participant Name ____________________________________________________________________ Date of Birth ____________________ Gender: M or F T-Shirt Size (Adult): S - M - L - XL - XXL Parent/Guardian Name ______________________________________________________________ Home Address ______________________________________________________________ Home Phone _________________ Cell Phone ____________________ Email:________________________
April 30th, 2021 Field Trip Parental Consent Form & Indemnity AgreementField Trip Parental Consent Form & Indemnity Agreement • March 24th, 2021
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold parish/school/Mary, Mother of the Church/Church of St. Michael, and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify the parish/school/Mary, Mother of the Church/ Church of St. Michael, and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the parish/school /Mary, Mother of the Church/ Church of St. Michael, and Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school/Mary, Mother of the Church/ Church of St. Michael, and the Archdiocese in defense o
November 16, 2019 Field Trip Parental Consent Form & Indemnity AgreementField Trip Parental Consent Form & Indemnity Agreement • April 17th, 2019
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold parish/school and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify the parish/school and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the parish/school /Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
October 16, 2021 Field Trip Parental Consent Form & Indemnity AgreementField Trip Parental Consent Form & Indemnity Agreement • August 30th, 2021
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold parish/school/Mary, Mother of the Church/and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify the parish/school/Mary, Mother of the Church and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the parish/school /Mary, Mother of the Church and Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school/Mary, Mother of the Church and the Archdiocese in defense of such a claim/suit.
