Ignite & Sparks AIRTIME Sign-up Parent Permission Ignite & Sparks REBOUNDERZ Night Permission/Registration Form Please complete this form when youth ministry is participating in any on or off campus event. Also use this form if your youth is not registered in our program but wishes to participate in a Saint Sebastian sponsored youth ministry event that takes place on or off campus. WHEN: Sunday February 24, 2019 4:15 pm, until 8:00 pm. COST: $25 Includes: Transportation, All Jump Fees, Pizza and Pop. (Fee Waived for Family Hardship) IMPORTANT INFORMATION: Bus transportation is provided in the cost. Students must be on campus in the Youth Center by 5:00 pm for a 5:15 pm departure. We will return by 8:00 pm. Copy this link: https://rebounderzgrandrapids.pfestore.com/waiver/ and after completing this form and CLICKING SUBMIT paste this link in your web browser to be taken to the Rebounderz Liability Waiver platform to complete their form as well. When registering on the Rebounderz page click the button for "MYSELF & CHILDREN even though you are not attending. Rebounderz will sort it out. REGISTRATION & PAYMENT DEADLINE: I MUST HAVE YOUR YOUTH'S REGISTRATION ON OR BEFORE February 15, 2019 - After clicking, "Submit," below, your youth will be registered. (Please register as soon as possible). Payment can be turned in on the day of the event, OR, placed in an envelope marked, "Youth Ministry" and dropped in the weekly collection anytime before February 15. You may also drop it off at the parish offices or mail it to 9408 Wilson Ave SW - Byron Center, MI 49315EVENT LEADER: Rod Wood Cell: 616-318-8099 Office 616-878-1619 Email: Rod@StSebastianMi.orgParent/Guardian Name* First Last PhoneEmail Youth's Name First Last Youth's Name First Last Youth's Name First Last Youth's Name First Last Dear Parent or Legal Guardian: Your child is eligible to participate in a parish-sponsored activity. This activity will take place under the guidance and supervision of Youth Ministry Coordinator, Rod Wood, and designated volunteers from St Sebastian Church. You must have on file with the youth ministry office a current Medical Release Form. This would have been filled out at the time you registered your youth for the 2018-2019 program year. If your youth is NOT already registered in our programs, or, If your child’s conditions or medications have changed, please complete an updated form. You can find the Medical Release Form online in the same place you found this one. STATEMENT OF CONSENT - BY CLICKING "SUBMIT BELOW I hereby consent to the participation of my youth in the event described above. In consideration of my youth being allowed to participate in this event, I agree to waive and release, and indemnify and hold harmless Saint Sebastian Church, any and all affiliated organizations, its/their employees, agents, representatives, volunteers and drivers, from any and all claims my child may have, excluding claims for intentional misconduct or gross negligence, arising from or relating to my child’s participation in this event. I authorize Saint Sebastian Church, to obtain necessary medical treatment for my child in case of illness, injury or accident. I certify that I am the custodial parent and or legal guardian of the minor child named above and I agree to the above terms for myself and for my minor child.