Adeste 2024-2025 Application

Adeste Application

2024-2025
Youth's Name*

First NameLast Name
Gender*

FemaleMale
Birthdate*

MonthDayYear
Date
T-shirt Size (Adult)

SmallMediumLargeX-LargeXX-Large
Current Grade:*
School
Youth's email*
example@example.com
Youth's cell phone number (for GroupMe)*

Area CodePhone Number
Required Team Training Meeting: Friday, August 9, 2024 Time: 8 AM - 6 PM (STMM Ministry Center)*

YES - I can make the training dateNO - I cannot make the training date
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Name #2

First NameLast Name
Parent/Guardian Email #2
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical and Permission Form
I grant permission for the administration of First Aid to my youth by the people in charge of the event, and those transporting my child to and from the event as their judgment deems advisable, and to make the necessary referrals to qualified physicians for the treatment of illness or accidents of a more serious nature. I understand I will be promptly notified in the event of any serious illness or accident and prior to any major surgery, except when delay in such communication would endanger life. In the case of a medical emergency, I understand that every effort will be made to contact the parent/guardian of the participant. In the event that I cannot be reached, I hereby give permission to the physicians selected by the adult staff to hospitalize, secure proper treatment for and to order injection, anesthesia, or surgery deemed necessary for my child.
Allergic to any medications?*

YesNo
If yes, please explain:*
Please list any other allergies (food, insect bites, etc.):*
Medications participant is currently taking:*
Authorized physician*
Physician Phone Number*

Area CodePhone Number
Parent/Guardian Signature*

Clear
In case of emergency, we will contact the parent/guardian named above first. We ask that you provide an alternate contact just in case.
Alternate Emergency contact:*

First NameLast Name
Emergency contact phone number:*

Area CodePhone Number
I give permission for my son/daughter to travel with Saint Margaret Mary Youth Ministry for activities from August 1, 2024 through July 31, 2025.

I hereby release and indemnify my parish, St. Margaret Mary in Algonquin, IL its staff, volunteers and the Diocese of Rockford from any and all liability arising from claims of any kind or nature whatsoever from my child’s participation in this event.

Video and Still Photographs
Video and still photographs may be taken during this event. This authorization form constitutes permission for my youth’s participation in the video and or still photographs, which may be used for future promotional efforts, including the Diocese of Rockford website/social media and St. Margaret Mary website/social media.

Code of Behavior
As a participant in this event, he or she is representing our parish during this event and we expect he/she will represent us well. We expect that he/she will display mature and responsible behavior, which for many years has been the trademark of Catholic youth and adults of our diocese.

Some expectations:
1. All participants are expected to arrive on time.
2. All participants are expected to demonstrate common courtesy and respect at all times.
3. Inappropriate language/ behavior will not be tolerated.
4. Socializing should always be done in public.
5. Dress should reflect the value of modesty. Writing on clothing should reflect Christian values.
6. The possession or consumption of any alcoholic beverage and/or possession/use of any illegal drug is not permitted.
7. Smoking is not permitted.
8. Weapons and/or drug paraphernalia are not allowed.
9. If under the age of 18, prescription drugs need to be given to an adult for storage and distribution.
10. Infraction of these rules can mean immediate dismissal with no refund. Participants will be responsible to local authorities as well.
I understand and agree to this Code of Behavior. I also understand and agree that at the time of an infraction requiring dismissal, I am responsible for my removal from the premises and any costs involved.

If under the age of 18, I also understand and agree that my parents or guardian will be notified at the time of an infraction requiring my dismissal. My parents or guardian will be responsible for my removal from the premises and any costs involved.
Youth Signature*

Clear
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Interview and Application Questions

Note: Interviews will be set up individually after application submission
Name at least 2 of your gifts, talents and skills:
What would you like to accomplish on team this year?
Explain why your faith is important to you (100 word minimum)

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Should be Empty:

Adeste Application

Medical and Permission Form

Interview and Application Questions