IN THE IMAGE Service Event IN THE IMAGE Service Project Signup/Permission 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. The month of March belongs to Saint Sebastian Youth Ministry, at IN THE IMAGE. The first 4 Saturday's they will be relying on YOU to come and assist them in their effort to cloth the naked. Let's not let God's people down! This is an opportunity for all 2019 Confirmation Candidates, as well as the rest of Sparks & Ignite Students, to answer Jesus' call to serve one another. In the Image is a clothing store open to the public. People in need can shop at no charge. In the Image keeps it's doors open and stays in business for the poor and needy, primarily using clothing donations and volunteers. THIS IS a beautiful service opportunity. Please pick a Saturday and then complete the following parent permission form. Please Choose the Date(s) your Youth Would Like to Serve March 16, 2019 (8:45am-12:00pm) March 23, 2019 (8:45am-12:00pm) EVENT LEADER: Rod Wood Cell: 616-318-8099 Office 616-878-1619 Email: Rod@StSebastianMi.orgParent/Guardian Name* First Last PhoneEmail I am an Adult/Parent and Would Like to Volunteer First Last Have you attended a Protecting God's Children Session? Yes No. I will contact Debbie Mayer at email@example.com Youth Volunteer First Last Youth Volunteer First Last Youth Volunteer First Last Youth Volunteer 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.