2016 May Crowning Signup
Please complete the form below and click the "Submit" button to sign your family's children up to participate in the 2016 May Crowning.
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Last Name of Family *
Please type in the last name of all adults/children in family
Name(s) of Parent/Guardian *
Email of person submitting form *
Phone number of person submitting form *
Would you be able to help the day of the event *
Required
Name and Ages of Children *
Please list the names and ages of all children participating in the event
Would your First Communicant child like the chance to crown the Blessed Mother?
If your child has made their First Holy Communion from May of 2015-May of 2016 and would like their name to be placed in a pool of names where two girls and two boys will be chosen to crown the Blessed Mother statues, please list the communicant's name below.
First Holy Communicant (from May 2015 to May 2016)
Media Release - Please indicate your permission below
By clicking "YES" below, you agree to the following video/image release provided by the Roman Catholic Diocese of Dallas and conforming to the Safe Environment program for the diocese:

For good and valuable consideration, I hereby grant to Mater Dei Personal Parish the irrevocable and unrestricted right to make, use and/or publish any and all photographs, videos, and other images of me/my minor child listed on this form, or images in which child may be included, now existing or hereafter made, in any case, with or without identifying child for editorial, advertising, news, or any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. On behalf of myself and/or my child, I specifically waive all rights to privacy and confidentiality with respect to name, likeness, voice, photographs, images, video recordings, audio recordings and identifying information.

I hereby release and agree to fully and unconditionally protect, indemnify, and defend Mater Dei Personal Parish, the Roman Catholic Diocese of Dallas, the Priestly Fraternity of Saint Peter and their respective officers, agents, and employees, (collectively, “Indemnitees”) and hold each Indemnitee harmless from and against any and all costs, expenses, attorney’s fees, claims damages, demands, suits, judgments, losses, or liability for injuries to property, injuries to persons (including child) and from any other costs, expenses, attorney fees, claims, suits judgments, losses, or liabilities of any and every nature whatsoever arising in any manner, directly or indirectly, out of, in connection with, in the course of, or incidental to the use or publication of any photographs, videos, or other images of Student, REGARDLESS OF CAUSE OR OF THE JOINT, COMPARATIVE, OR CONCURRENT NEGLIGENCE OF THE INDEMNITEES.
Permission for Photos *
Required
Potluck Signup
There will be a potluck gathering in the Parish Hall after the Procession of the Blessed Mother statue. Please let us know if you would be able to bring a dish to share.
Potluck Dish to share
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This form was created inside of Mater Dei Parish Catholic Church.