All middle school students are invited to a fun and faith-filled day at Bishop Shanahan High School on Saturday, February 9, 2019. This retreat, IGNITE, involves a balanced day filled with faith, friends and fun! All you need to do is register your student(s) here by Friday, February 1, 2019 at 12:00 PM. If you have any questions, please contact ignite@shanahan.org.

Qty
Description
Amount
Total

$15.00
$15.00
Total: $15.00
Future Commitment: $0.00
Student Information
I hereby agree to indemnify and hold harmless Bishop Shanahan High School, the Archdiocese of Philadelphia and its officers, employees, and volunteer staff from any liability. I accept responsibility for any medical expenses as a result of any such injury sustained.
As a parent and/or guardian, I do herewith authorize the treatment by a qualified and licensed medical doctor for in the event of medical emergency which, in the opinion of the attending physician, may endanger his or her life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. This release is intended for February 9, 2019. This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.
Bishop Shanahan High School has my permission to use my child’s photograph publicly to promote the IGNITE Middle School Retreat. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Payer Information
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A receipt will be e-mailed to this address.
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