Holy Thursday Pilgrimage of the Seven Churches
In the medieval Church, seven major basilicas were visited on Holy Thursday to honor the Passion of Christ. To honor this tradition, we will begin our pilgrimage at Holy Trinity for the 7pm Mass, visit all parishes in Springfield for Adoration, and end with a group meal. This will be a wonderful time for faith, fellowship, and preparation for Easter! The night will most likely go from 7 to 10:30 pm.
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Name of Parent/Guardian completing form
*
First Name
Last Name
Parent Email Address
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
List any medical conditions or medications for your child that we need to be aware of:
FOR PARENTS: Are you willing to serve as a driver for this event?
*
Yes
No
Maybe
FOR PARENTS: Are you VIRTUS trained?
*
Yes
No
Parental/Guardian Consent and Liability Waiver
I/we, parent(s)/guardian(s) of the above-named participant, grant permission for my/our child to participate in the Holy Thursday Pilgrimage Youth Group activity taking place on April 2, 2026 under the guidance of parish employees and/or volunteers.
As parent(s)/guardian, I/we remain legally responsible for any personal actions taken by the above-named minor (“participant”).
Emergency Medical Treatment Permission
In the event of an emergency, I/we hereby give permission to transport my/our child to a hospital for treatment by the hospital or doctor. I wish to be advised prior to any further treatment by the hospital or doctor. I/we further give my/our permission for health officials to release medical information on my/our child to the diocesan group leader, if applicable.
Photo/Video Release
I/we give permission for photographs/video of my/our child to be used for parish or diocesan communications and promotional programs. I understand any photographs/videos will be used only in a legal manner and that at no time will my child or I be depicted in any unethical manner.
Transportation Permission
I/we understand the parish will provide transportation to the event. My/our child has permission to ride in a car with a volunteer driver designated by the parish. I/we understand that no one under the age of 21 will be allowed to serve as a driver.
Liability Waiver
I/we agree, on behalf of myself/ourselves, my/our child named herein, my/our and my/our child’s heirs, successors and assigns, to hold harmless and defend the parish and the Diocese of Springfield-Cape Girardeau, their officers, directors, employees, volunteers, agents, chaperones, and representatives associated with the event, from any claim arising from or in connection with my/our child attending the event, from any claim arising from or in connection with any illness or injury (including death) or in connection with the cost of medical treatment as a result of an illness or injury, even if the cause of damages or injury is alleged to be the fault of or caused by the negligence of the parish or the Diocese. I/we agree to compensate the parish or Diocese, their officers, directors, employees, agents and chaperones or representatives associated with the event for reasonable attorney’s fees and expenses which they may incur in any action brought against them as a result of such injury or damage, unless such a claim arises from the negligence of the parish or Diocese.
I/we warrant that the information herein is correct to the best of my/our knowledge.
I/we fully understand and sign this Parental/Guardian Consent Form and Liability Waiver knowingly, freely and willingly.
Signature of Parent/Guardian
*
Submit
Submit
Should be Empty: