Love Your City Mission Week
This summer Saint Pius X Youth Ministry is bringing back the Mission Trip! In accordance with our parish Covid policies, it will be a local trip with teens sleeping at home tonight. We will be serving those in need at several organizations around St. Joseph County including our sister parish, St. Adalbert. Each day after we work, we will have fun and prayerful programming. We aim to help teens reflect on what it means to live a life of service. We will focus on the question: "Who is my neighbor?" from the Parable of the Good Samaritan. The week will allow teens to complete all school required service hours.

Dates: Wednesday, June 23 - Sunday June, 26
Who: High School Students (Rising Freshmen through Soon-to-be Graduated Seniors)
Cost: $50
Location: Service Sites throughout St. Joseph County
Parents will be responsible for drop off and pick up at service sites each day.
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Student Name *
Parent Name *
Home Address *
Parent Phone Number *
Parent Email *
Teen Email
Participant Grade for 2021-22 School Year *
Teen School:
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In consideration of the aforementioned participant, my child, being allowed to participate in this event, I, on behalf of myself, my child and my child's other parent/guardian, hereby acknowledge recognition that such an activity may expose my child to risks and hazard not ordinarily encountered in the parish youth ministry program. Further, on behalf of myself, my child, and my child's other parent/guardian, I hereby release all claims, judgments and liability of every kind for any injury and damage of any kind, whether personal or property, that we or any one of us may suffer or incur due to my child's participation in the event, regardless of whether the injury or damage is attributable to the fault of parties other than the Parish or Diocese or attributable to the fault, including negligence, of the Parish or Diocese.
I will instruct my child to follow the rules of conduct as directed by the parish youth ministry program and Diocese. This includes the COVID-19 safety rules which include: Students will be expected to wear masks for the duration of the event except when eating. Lunch, dinner, and snacks will be individually wrapped. Each of the activities will allow for social distancing. Additionally students will not be permitted to be in physical contact with other students. Please monitor your child's health and if they display signs of illness, please keep them home.  *
By typing my full name and today's date below, I certify that I am this student's parent or legal guardian and hereby agree to the Youth Ministry Event Participation Permission and Release for the  Love Your City Mission Week  on June 23-26, 2021. *
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Parent/Guardian license or state ID number. If this form is filled out on paper, a signature will work instead of a license. *
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