St. Joseph Youth Ministry S.H.I.N.E. Service Week Application

St. Joseph Youth Ministry S.H.I.N.E. Service Week Application

All incoming 7th grade through graduating seniors are welcome to participate in a week of service to help our community! When: June 13-17, 2022 Where: St. Joseph, Libertyville (participants will be dropped off at the church at 8:30AM and picked up at the Souled Out Teen Space at 3PM.)
Participant's Name *

First Name Last Name
Participant's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Participant's Email
example@example.com
Grade in 2022-2023 *
School: *
Participant's t-shirt size (adult sizes only) *
Parent/Guardian's Name *

First Name Last Name
Parent/Guardian's Email *
example@example.com
Parent/Guardian's Phone Number *
Please enter a valid phone number.
Emergency Contact's Name *

First Name Last Name
Emergency Contact's Relationship to participant *
Emergency Contact's Phone Number *
Please enter a valid phone number.
Participant Agreement
I, First Name* Last Name*, agree to enter into this agreement with Parent/Guardian and the St. Joseph Youth Ministry Leaders. This agreement is set forth to identify minimum expectations of a participant for required activities and behaviors during S.H.I.N.E. Service Week, which will take place Jun 13-17, 2022.
As a participant in S.H.I.N.E. Service Week, the individual is expected to:
- Come to each event with a positive attitude, the willingness to participate, and ready to have fun!
- Follow the direction of all adult leaders, be respectful at all times, and represent themselves, their parent/guardian, and the St. Joseph community with pride.
- Follow all safety procedures and guidelines during the event.
- Use of cell phones is not allowed during service times. There will be designated times (lunch, breaks, etc.) when the teens are allowed to use their phones.
- Obey all local rules, regulations, and guidance regarding Covid-19.
Participant's Signature*
Parent Agreement
As the parent/guardian of the St. Joseph Teen, I agree to the following:
- I understand that the parish is not responsible to have medical personnel available during S.H.I.N.E. event or and associated activities; personnel of the parish may authorize or perform emergency medical treatment if they believe that it is necessary for the participant’s health, safety, and well-being.
- I authorize the youth ministers and adult volunteers to transport participant to service events.
- I authorize the Parish to use and reuse Participants image, likeness, and voice recording in any photograph, video recording and/or audio recording (collectively “Recordings”) for the purposes of education, marketing or promotion of the parish without compensation or notice to Participant and the Recordings may be used within the websites, social media sites, brochures, magazines, books or other communication materials of the parish at any time.
By signing below, the Parent/Guardian agrees to the terms of this contract.
Parent/Guardian's signature*
Should be Empty: