Women's Vocations Permission Form (2026)

2026 Women's Vocations Trip

Parent/Guardian Permission and Liability Waiver
Date(s): October 15th-18th, 2026

Type of Event:Women's Vocations Retreat

Arrival/Departure Time: 8:00am on October 15th / TBD on October 18th

Cost: $100

Destination: The Sisters of the Eternal Word - Irondale, Alabama

Individual In Charge: Rylee Scheske

Mode of Transportation: Volunteer Drivers
Participant Information:
Participant’s Name
Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Gender
Full Address
Home Phone
Format: (000) 000-0000.
Adult Shirt Size
Permission to Participate:
I,
, attest that I am the parent or legal guardian of this participant,
and I grant permission for my child,
to participate in this parish youth ministry event, which requires transportation to a location away from the parish site. This activity will take place under the guidance and direction of Parish employees and/or volunteers from Saint Paul the Apostle Catholic Church, Spartanburg
Hold Harmless Agreement:
As parent/legal gaurdian, i agree to be legally responsible for any personal actions taken by my son/daughter named above. In the event of a serious violation of the rules og conduct, I understand that he/she may br sent home at my expense, but you will be notified and logistics discussed with you in advance.

I agree on behalf of myself, my son/daughter named herein, our heirs, successors and assigns to indemnify, hold harmless and defend Saint Paul the Apostle, Spartanburg and the Diocese of Charleston, their officers, directors and agents (collectively, the “Diocesan Parties”) from any liability for illness, injury or death arising from or in connection with my son/daughter attending the above named activity/event, except that such obligations shall not apply in the event of the gross negligence or intentional acts of the Diocesan Parties.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Permission To Be Photographed:
I give my permission for my child,
to be photographed at this event and understand that the photographs may be used for publicity, etc.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
MEDICAL CONSENT AND PERMISSION TO TREAT
Release of Information:
To the best of my knowledge, my child,
is in good health, and I assume all responsibility for the health of my child. In the event of an emergency, I give permission to transport my child to a hospital or emergency treatment facility. I wish to be advised prior to any further treatment by the medical professionals, but I do not want treatment to be withheld if neither I nor any emergency contact I have named below can be located and the injury is life-threatening or the failure to provide treatment is likely to result in permanent injury.

I hereby grant medical personnel permission to release medical information to the Diocesan Director and/or my parish youth minister in the event that my child becomes ill or injured.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Insurance Information:
Insurance Carrier
Policy Number
Emergency Contact Information:
Parent/Guardian’s Name
Full Address
Home Phone: ( )
Format: (000) 000-0000.
Business Phone
Format: (000) 000-0000.
If you are unable to reach me, please contact:
Name
Relationship to me or my son/daughter
Medical History:
My son/daughter is under the care of a medical provider.
Provider Name
Phone Number
Format: (000) 000-0000.
My son/daughter is taking medication and will bring all medication with him/her and it will be clearly labeled. My son/daughter is taking the following medication(s) and directions for taking this medication, including dosage, frequency and storage are as follows:
I hereby grant permission for non-prescription medication such as cough drops, cough syrup, tylenol, etc. to be given to my child if necessary.
My son/daughter is allergic to the following:
My son/daughter’s immunizations are current and up to date
My son/daughter has the following limitations:
My son/daughter experiences homesickness, emotional reactions to new situations, sleepwalking, fainting, bedwetting, etc.
Please explain
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

2026 Women's Vocations Trip

Participant Information:

Permission to Participate:

Hold Harmless Agreement:

Permission To Be Photographed:

MEDICAL CONSENT AND PERMISSION TO TREAT

Release of Information:

Insurance Information:

Emergency Contact Information:

Medical History: