The 177 Project
The below is legal document for Saint Patrick Parish and the Diocese of Superior for
Permission for Minors with Indemnity Agreement and Emergency Contacts and may only filled out by a parent or guardian.

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Event Information

Description of Event: The 177 Project

Date of Event: Friday, October 12th Begin time: 4:15 pm End time: 11:00 pm

Transportation Method: Private cars

Participant cost: $10 per youth ($30 max per family)
Fee due to Tricia Pieper by Wednesday, October 10th. Checks made out to Saint Patrick Parish.

Sponsored by: St. Joseph Catholic Church - Rice Lake, WI

Supervised by: Tricia Pieper

Your permission is needed for your child to participate in the event listed above.

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