Editing previous response:

Please fix the highlighted areas below before submitting.

2024 Summer Band

Please complete this online permission form.

All Saints Summer Band ~ grades 4-8 (in 2023-2024)

DAYS: Monday - Friday, June 10-14 and July 8-12

CAMPS: Register for Pops, Jazz or both!
Anyone with at least one year of band experience is welcome.
A FREE concert will be held for family and friends at the end of each week at 2:00 pm.
Can't attend all days? Come for as many as you can!

SUMMER JAZZ - June 10-14, 1:00-2:00 pm, (minimum of 10 registered to hold this session)
SUMMER POPS - July 8-12, 1:00-2:00 pm, (minimum of 20 registered to hold this session).

COST: $30 per session (payment is online only)

PLACE: All Saints School music room

DUE: The last day to register and pay is May 24.

Individual in charge: Ms. Emily Heidelberger

For questions about these camps, please contact: Ms. Heidelberger ([email protected])
For questions about this form, please contact Chris Spinler (952-469-3332 or [email protected])

Parental/Guardian Consent Form and Liability Waiver

Please complete the form below on a computer device. It does not work consistently on a cell phone.

One form per student.

Required fields marked *

Student Name (first and last)*

One student per form

Answer Required

Date of Birth*

Answer Required

Please check each option you are registering for:*

You may choose one or both options.

Answer Required

Summer Jazz - June 10-14, 1:00-2:00 pm

Summer Pops - July 8-12, 1:00-2:00 pm

Address*

include your city

Answer Required

Parent/Guardian Name (first and last)*

Answer Required

Cell Phone Number*

000-000-0000 or 000.000.0000

Number Required

Additional Parent/Guardian

Answer Required

Phone Number for Additional Parent/Guardian

000-000-0000 or 000.000.0000

Number Required

Email address for communications regarding this activity*

Answer Required

I, the above named parent/legal guardian, grant permission for my above named child, to participate in this parish/school activity. This activity will take place at the school under the guidance and direction of parish/school employees and/or mission partners from All Saints Catholic Church and School. I understand and agree that as parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor ("student"). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend All Saints Catholic Church and School, its officers, directors, employees, coaches, and agents, and the Archdiocese of Saint Paul and Minneapolis, its employees, chaperones, or representatives associated with the event, (hereinafter "Releasees"), from any claims including but not limited to all claims relating to communicable disease, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate Releasees for reasonable attorney's fees and expenses which they may incur in any action brought against them as a result of such injury or damage.

Communicable Disease Release, Hold Harmless & Indemnification Agreeement: I agree to hold Releasees harmless, release, defend, and indemnify Releasees for any communicable disease claim arising out of the above Event that is brought against Releasees by myself, participant, my family members, heirs, assigns, executors, and personal representatives. I understand and agree this communicable disease release, hold harmless, and indemnification agreement includes claims based on the actions, omissions, or negligence of participant, myself, and others, including, but not limited to the Releasees.

As parent or legal guardian, I acknowledge and agree to the conditions above. By typing my signature below, I acknowledge and agree this electronic signature is the legally binding equivalent to my handwritten signature. This electronic signature has the same validity and meaning as my handwritten signature.

Your Signature (first and last name)*

You can only sign for yourself; do not put in someone else's name.

Answer Required

MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.*

Answer Required

Yes, I understand and agree.

Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. In the event of an emergency, if you are unable to reach me at the above numbers, please contact:

Alternate Emergency Contact Name *

Answer Required

Alternate Emergency Contact Phone Number*

000-000-0000 or 000.000.0000

Number Required

Doctor or Clinic

Answer Required

Doctor or Clinic Phone Number

Number Required

Your Signature (first and last name)*

You can only sign for yourself; do not put in someone else's name.

Answer Required

MEDICAL INFORMATION:

Other Medical Treatment: In the event it comes to the attention of the school, its officers, directors and agents, and the Archdiocese of St. Paul and Minneapolis, coaches, chaperons, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I will be called.*

Answer Required

Yes, I understand and agree.

Parents are responsible for administering any medication to their children before, during or after practices, games or related activities. Medications kept in the Health Office (for use during the school day) will not be available before, during or after extracurricular activities.*

Answer Required

Yes, I understand and agree.

Medication my child is taking at present. *

If no medications, type "none"

Answer Required

Your Signature (first and last name)*

You can only sign for yourself; do not put in someone else's name.

Answer Required

Specific Medical Information: The parish will take reasonable care to see that the following information will be held in confidence.

Allergic Reactions (medications, foods, plants, insects, etc.)*

Answer Required

Does this child have a medically prescribed diet?*

Answer Required

Any physical limitations?*

Answer Required

Has this child recently been exposed to contagious disease or conditions, such as covid-19, mumps, measles, chickenpox, etc.? If yes, give date and disease or condition. *

Answer Required

Special Medical Conditions we should know about:

Answer Required

As parent or legal guardian, I have read, and I understand and agree to all of the above stated considerations and conditions. By typing my signature below, I acknowledge and agree this electronic signature is the legally binding equivalent to my handwritten signature. This electronic signature has the same validity and meaning as my handwritten signature.

Your Signature (first and last name)*

You can only sign for yourself; do not put in someone else's name.

Answer Required

Payment is online only for this event.
Below, please check each session you are registering for.

Summer Jazz, June 10-14, 1:00-2:00 pm

Online payment only.

Price: $30.00

Summer Pops, July 8-12, 1:00-2:00 pm

Online payment only,

Price: $30.00

Confirmation Email

Confirmation Email *

Email Required