CLE 2:16 2025

ST. HELEN LIFE TEEN
CLE 2:16 Diocesan Youth Conference

January 4, 2025
John Carroll University,

1 John Carroll Blvd,

University Heights, OH 44118

10:00 am-9:00 pm

Saturday, January 4th, 2025

Meeting at St Helen: at 8:45am

Returning to St Helen: at 9:45pm

Cost: $40

*This block of tickets is for St Helen Life Teen only at this time. If you are a friend from another youth group please check with your youth minister to see if they have tickets available. Thank you.

Name

First NameLast Name

Name (additional teen)

First NameLast Name

Parent/Guardian Name:

Parent/Guardian Cell Number

Parent/Guardian Email

example@example.com

Consent Form and Liability Waiver
I, as the parent or legal guardian of Child(ren)'s Full Name(s) , do hereby grant permission for my child to participate in the CLE 2:16 Diocesan Youth Conference. I understand that my child(ren) will be transported to/from St. Helen Church to John Carroll University in University Heights, by Parents or Life Teen Core Members over the age of 21 years. I acknowledge that the aforesaid participant will be involved in physical activities that may cause injury and that there may be risks foreseen and unforeseen. I agree by my signature to release, absolve, indemnify, and hold harmless St. Helen Parish, Newbury, Ohio, their employees and agents; The Roman Catholic Diocese of Cleveland; The Bishop of the Roman Catholic Diocese of Cleveland their successors, and assigns from any and all liability for injury, medical fees, hospital bills, or doctor bills of aforesaid participant as well as all debts, claims, demands, costs, expenses, damages, actions, and causes of actions -- I waive all claims of any kind against those mentioned.

I acknowledge and consent

Yes

Photo Release - St. Helen Church

I/We, the parent(s) of the above, give my/our permission to St. Helen Parish, Newbury, Ohio to publish my/our child's photo only (no name) in publications/media forms listed below exclusively for the purpose of St. Helen Parish and its parishioners. Slideshows, Parish Bulletin, Parish Website, Narthex TV, etc.

I acknowledge and consent

YesNo

Parent/Guardian Signature

Date

How would you like to pay the $40 ticket fee?

CreditCash/Check

I acknowledge that until my cash/check is received by the St Helen Life Teen Office my spot is not secured.

Yes

CLE 2:16 RegistrationPlease adjust quantity for number of teens attending

$40.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

In order to complete your registration to you must fill out the CLE 2:16 Waiver Form provided by the event. After hitting submit on this form you will be redirected to the event waiver form. St Helen will be notified when you have completed the waiver and your spot will be secured.

I have read and understand the above statement about the CLE 2:16 Waiver Form.*

Yes

Name (additional teen)

First NameLast Name

Liabilities and Consent

Payment

Credit Card