Middle School YM Christmas Party
On Sunday, December 14, we will have our Christmas party at Midland Civic Arena! Please arrive at 4:30 to get your skates. Skating with Santa will be from 5:00 to 5:50. After skating is over, we will have snacks and play some games! We will be renting a room where the students can store their things and where we will hang out together until 6:30.
(Optional) Figure Skating Performance
If you're looking for some extra fun for your family, there is a figure skating performance starting at 3:30! Watch local skaters perform to fun and inspiring holiday music from 3:30-4:50 p.m. Admission is a non-perishable food pantry item.
Event Date and Time
Sunday, December 14, 4:30-6:30 PM
Location
Midland Civic Arena, 405 Fast Ice Dr, Midland, MI 48642
Cost
Cost: $10 (This will cover the admission fee, the skate rental, and the room rental cost. If you are bringing your own skates, you only need to bring $7.)
Supervisors
Christine Sellnow, Kathy Russell
Name of Child
*
First Name
Last Name
Skate size
*
Write N/A if your child does not need skates. Your child can exchange sizes if need be!
Allergies
*
Medical Conditions
*
Medicines child is currently taking
*
Medicines that need to be dispensed during this activity must be given to the designated supervisor in its original container with directions and dosage.
Name of Child 2
First Name
Last Name
Skate size
Write N/A if your child does not need skates. Your child can exchange sizes if need be!
Allergies of Child 2
Medical Conditions of Child 2
Medicines Child 2 is currently taking
Name of Child 3
First Name
Last Name
Skate size
Write N/A if your child does not need skates. Your child can exchange sizes if need be!
Allergies of Child 3
Medical Conditions of Child 3
Medicines Child 3 is currently taking
Permission to Participate
I, the parent of the child(ren) listed, request that Blessed Sacrament Parish allow my son(s)/daughter(s) to participate in the activity described above. I give permission for my child(ren) to participate in said trip. In consideration for my child(ren)'s participation, I hereby release, save harmless and indemnify Blessed Sacrament Parish, Assumption BVM Parish, St. Brigid Parish, their employees, volunteers, agents and any sponsors or benefactors of said trip from any and all liability from any and all injury. I understand that my son(s)/daughter(s) will be under the supervision of the designated supervisor and chaperones on the stated dates and that all parish rules will be in effect. I understand and agree that, if my son(s)/daughter(s) violates a parish rule, he/she/they will be sent home.
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Alternate Emergency Phone Number
*
Format: (000) 000-0000.
Medical Release
In case emergency medical treatment is necessary and I am not available to give consent, I authorize the adult advisor in charge to consent to any necessary examination, anesthetic, medical diagnosis, surgery or treatment, and/or hospital care to be rendered to the above-named minor(s) under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine in the state of Michigan or Ohio.
Medical Insurance Carrier
*
Policy Contract Number
*
Family Physician
*
Physician Phone Number
*
Parent/Guardian Signature
*
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