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High School Progressive Dinner

- Parish Life

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- Student #1
  
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  Student #1 Gender REQUIRED Please fill out this field.
  
  Student #1 Grade REQUIRED Please fill out this field.
  
  Student #1 If you have any food allergies, or anything we need to be aware of, please explain below. Please enter valid data.
- Student #2
  
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  Student #2 If you have any food allergies, or anything we need to be aware of, please explain below. Please enter valid data.
- Student #3
  
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  Student #3 If you have any food allergies, or anything we need to be aware of, please explain below. Please enter valid data.
- PARENTAL/GUARDIAN CONSENT FORM AND LIABILITY WAIVER
- Parent/Guardian Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Address REQUIRED Please fill out this field. Please enter valid data.
  
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  I, the above named parent/guardian, grant permission for my child(ren) to participate in this event. This activity will take place under the guidance and direction of parish/school employees and/or volunteers from St. Elizabeth Ann Seton Catholic Church.
  
  Activity: Progressive Dinner and Game Night
  Individual in charge: Maggie Landrigan
  Date: 8/1/2026
  Time: 5:30 pm to 11:00 pm
  If offsite, destination: St. Elizabeth Catholic Church and parishioner homes
  Mode of transportation to and from the event: Personal Vehicles
  Estimated Time of Departure: 5:00 pm Estimated time of Return: 11:00 pm
  
  As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor(s) ("participant(s)"). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend St. Elizabeth Ann Seton Catholic Church, its officers, directors, employees and agents, and the Diocese of Fort Wayne-South Bend, its employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child(ren) attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of Fort Wayne-South Bend, its employees and agents and chaperone, or representative associated with the event for reasonable attorney's fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the parish/diocese.
- Parent/Guardian Signature
  
  By typing my name below i am certifying that the above information is correct and that i am the adult parent/guardian indicated above.
  
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