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St. Joseph Roman Catholic Church
A Pastorate of the Diocese of Lafayette-in-Indiana
319 East South Street
Lebanon, Indiana 46052
765-482-5558
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Home
About
Location
Staff
Pastorate of St. Mary, Frankfort and St. Joseph, Lebanon
Contact Us
History
Our Patron Saint
Coronavirus
Employment Opportunities
Administration
Parish Administration
Giving
Communication
Realm
St. Joseph Cemetery
Worship
Mass Times
Mass Readings & Homilies
Music Ministry
Liturgical Ministers
Art & Environment
Prayer & Adoration
Livestream
Faith Formation
Sacraments
Becoming Catholic
Religious Education for Children
Life Teen-High School Ministry
Young Adults
Adult Formation
Parish Life
Parish Life Minisitries
Parish Socials
Outreach
Community Outreach
Spiritual Outreach
News / Events
Bulletins
Parish Calendar
Leadership Night Reports
Parish News & Events
Area News & Events
Photo Albums
LIFE Teen Lock In
Faith Formation
Sacraments
Becoming Catholic
Religious Education for Children
Life Teen-High School Ministry
Religious Education/Life Teen Registration
Life Teen Lessons
NCYC 2021 ST JOE LEB
LIFE Teen Lock In
Young Adults
Adult Formation
PERMISSION /WAIVER FOR 2022 LIFE TEEN LOCK-IN
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Participant's Information
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Allergies, Physical Restrictions, other Special Medical Conditions
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Parent/Guardian's Email
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I grant permission for my child to participate in this overnigth parish event at St. Joseph Catholic Church, Lebanon, Indiana. This activity will take place under the guidance and direction of parish employees and/or volunteers from St. Joseph Catholic Church, and the Diocese of Lafayette-in-Indiana. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”).
I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend St. Joseph Catholic Church, Lebanon, Indiana and the Diocese of Lafayette-in-Indiana, its employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith. I agree to compensate the Diocese of Lafayette-in-Indiana, its employees and agents and chaperones, or representative associated with the event, for reasonable attorney’s fees and expenses which may incur any action brought against them as a result of such injury or damage unless such claim arises from the negligence of the parish/diocese.
In the event of an emergency, I hereby give my permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact the listed Emergency Contact included above.
I grant to St. Joseph Church, Lebanon, Indiana and the Diocese of Lafayette-in-Indiana the right, privilege and license to use the picture or likeness of my child in any photograph, movie, video production or any other forms of media publication and to use the verbal or written statements or declarations of my child for the purpose of publicizing, fostering and promoting the diocese and its programs, or for any other purpose in furtherance of the mission of the Diocese of Lafayette-in-Indiana.
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Date
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