When: October 17 10 am-5pm Who: 8th Graders Where: Parish Center Why: Day for Prayer, Reflection and Sacraments Child Name(Required) First Last Gender(Required) Male Female Middle School School(Required)Are there any youth that you would like your son/daughter to be in a small group with?Please note small groups are divided by gender.Parent/Guardian Contact InformationParent/ Guardian Name(Required) First Last Relationship to Child(Required)MotherFatherLegal GuardianFamily Member (Grandparent, Aunt, Uncle, etc.)OtherParent/ Guardian Email(Required) Parent/ Guardian Phone(Required)In Case of EmergencyEmergency Contact Name(Required) First Last Different from parent/guardian listed above. Emergency Contact Relationship to Child(Required)Emergency Contact Phone(Required)Does your youth need to leave earlier? If so, what time?Open Doors MinistryOpen Doors Ministry : Open Doors Ministry is here to help support all families and ensure every child has access to faith formation in a peer setting. By voluntarily answering this question you are helping us provide an appropriate classroom environment for all students. This information will be kept confidential.Does your child have a special need that requires adaptive programming or a one-on-one mentor while they are at EDGE? Yes No WaiversCell Phone Policy(Required) I agree to the terms and conditions of the cell phone policy.To maintain a focused, respectful, and engaging environment during our retreat, we have established the following policy regarding cell phone use: Middle school students are not permitted to use cell phones during the entirety of the retreat. Upon arrival and check- in, all phones will be collected and stored in a lock-protected bag, which will remain with each student’s individual small group leader at all times. Phones can be marked with a name tag if needed. This ensures that phones are kept safe and secure while minimizing distractions during the event. If a parent or guardian needs to get in touch with their student during EDGE, there will always be a designated individual at the front door who can contact the appropriate small group leader. In addition, the Coordinator of Middle School Youth Ministry will have their cell phone on her at all times and can be reached directly if needed. Thank you for helping us create a space where everyone can be fully present and connected with one another! If cell phone policy is not respected, discipline will occur through the same 3 Strike policy found on page 14 in the EDGE/ Confirmation Handbook. Medical Waiver(Required) I agree to the terms and conditions of the medical waiver.If the parents or guardians cannot be contacted in case of serious injury or illness, I authorize St. James Staff to take emergency action deemed necessary, including the transportation of the student to a hospital or medical center. As a parent or guardian, I authorize the treatment by a qualified and licensed medical doctor of the minor(s) listed in this registration in the event of a medical emergency that, in the opinion of the attending physician, may endanger his/her life, cause disfigurement or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.Please list any known allergies or medical conditions that would affect your child's participation in St. James Youth Ministry programs.Photo/Media Waiver I agree to the terms and conditions of the photo/media waiver.I hereby authorize and give my full consent to St. James Parish the use of my child(ren)’s image (photographs, video, and/or audio) and further agree that St. Jams Parish may use these photographs, video or audio files for promotional materials.Liability Waiver(Required) I agree to the terms and conditions of the liability waiver.I hereby give permission to my son/daughter, mentioned above, to participate in activities sponsored by St. James. I hereby release and indemnify the Archdiocese of Chicago, St. James for this event, its staff and volunteers; and the Catholic Bishop of Chicago, a corporation sole, from any and all liability arising from claims of any kind or nature whatsoever from my child’s participation in the program. I understand that if my child violates any laws regarding possession of alcohol or drugs, or rules governing the event, I will be called and notified about situation and/or arrangements made to send my child home at my expense.Delayed Payment(Required) I understand that my child(s) registration is conditional at this time. I will receive email confirmation from [email protected] when approved. At that time, I can submit payment in cash or check to the Parish Office or via credit card at an in-person event.