St. Isaac Jogues Parish - Edge Registration

*Denotes Required Field * Title

Parent Guardian Information

* Parent/Guardian Contact 1 Name

* Contact 1 Phone Number ( ) -

* Contact Email

* Relation to child

I would like to be contacted to assist with EDGE throughout the year

Parent/Guardian Contact 2 Name

Relation to child

Contact 2 Phone Number: ( ) -

EDGEr Information

* EDGEr's Name

* Mailing Address

* Birthdate

* School

* Grade

* T-Shirt Size (adult sizing) Please note, if there is no "XS" at the time of ordering shirts, we will have to default to a "S"

Medical and Media Release

* Please list any known allergies/health concerns/current medications we should be aware of

* Does your child have any special needs? (i.e. learning disability, physical disability, reading difficulty, hearing impairment or emotional concerns. This is not asked to exclude your child in anyway, but to include them more fully)

I/We understand that reasonable precaution will be taken to safeguard the health and safety of the participant and that the designated emergency contact person will be notified as soon as possible in case of emergency. In the event of any sickness or accident person(s) will not hold St Isaac Jogues, the Archdiocese of Toronto, any volunteer, chaperone, or driver responsible. I/We authorize and consent that emergency treatment be rendered under the general or specific supervision and on the advice of any physician, dentist, or surgeon; licensed to practice in the Province of Ontario or any other Province. The undersigned understand(s) and agrees that any medical, dental, or hospital expense incurred shall be at their own risk. The undersigned understand(s) every effort will be made to notify the emergency contact in the event that treatment is necessary.

* I agree

I hereby grant permission for my child to be photographed and/or videotaped during EDGE/Alpha Youth Activities and events. I understand that my child may decline to be photographed and/or videotaped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or used for the purpose of promoting The EDGE, Alpha Youth and/or any other youth programs at St Isaac Jogues Parish.

* I agree

To complete registration, please use the following link to pay the registration fee. Or contact the Youth Minister, Meagan, at youthministry@stisaacjogues.ca with any questions or concerns. Thank you and God bless!