march for life

January 26th-28th in Washington D.C.

Cost: $150

Deadline to Register: January 15th

ITINERARY

Thursday January 26
    9:00am Depart from St. Catharine via Cardinal Transportation Motor Coach
    Stop for lunch
    6pm Arrive to Life is Very Good Youth Rally - George Mason University
        4500 Patriot Circle, Fairfax, VA 22030
    Dinner near the Rally or at the arena concession stands
    10:30pm Check in at Hampton Inn after rally
        10860 Fairfax Boulevard, Fairfax, VA 22030
Friday January 27
    7:00am Wake up and Breakfast at Hotel
    8am Depart for morning rally at GMU
    11:30am Rally ends, lunch provided at rally by Chick-Fil-a
    Walk to National Mall for March for Life
    1pm March begins
    5pm Return to hotel after March ends
    6pm Dinner
Saturday January 28
    7:00am Wake up and Breakfast at Hotel    
    8:00am Checkout and depart for St. Elizabeth Ann Seton Shrine
        339 South Seton Avenue, Emmitsburg, MD 21727-9297
    10:00am Mass at Seton Shrine
        Tour, etc at shrine
    12:00pm Lunch
    1:00pm Depart for Columbus
    6:00pm Dinner
    10:00pm Arrive back at St. Catharine

I. Registration
Name *
Name
Participant Cell Phone *
Participant Cell Phone
II. Permission
The undersigned hereby state(s) that (he/she/they) (is/are) the (parent/parents/guardian) of the above named Participant and have full legal responsibility for the Participant. The undersigned hereby grant(s) permission for the Participant to participate in the March for Life.
Permission to use previously supplied Personal, Medical, and Emergency Information
The undersigned hereby attests and affirms that I have granted permission to use previously supplied information on a Saint Catharine Youth Permission form in Section I, Section IV, and Section V to be used for all future Saint Catharine Youth events for the 2016-2017 academic year, and that the information is current at the time of registration for this event, the March for Life.
III. RELEASE AND INDEMNIFICATION
A. Release. The undersigned on behalf of the undersigned, the Participant, and the heirs, successors and assigns of the undersigned and the Participant, hereby release, hold harmless from any liability, and discharge from all direct or derivative claims, actions, causes of actions, medical expenses, costs, legal expenses, other expenses and all other damages at law or in equity, known or unknown, direct or indirect, choate or inchoate against the Diocese of Columbus, the Parish and all current and former employees, agents, clergy, officers and volunteers of the Diocese of the Parish, arising from the Participant’s participation in the Activity named in Section I.B., above. B. Indemnification. The undersigned shall indemnify and hold harmless the Diocese of Columbus, the Parish, and all current and former employees, agents, clergy, officers and volunteers of the Diocese of Columbus or the Parish from any claim, liability, suit, judgment, loss, damage, expense, fee or cost (including court costs and attorney fees) arising directly or indirectly from the Participant’s participation in the Activity named in Section I.B., above, unless arising from the negligence of an indemnified party.
IV. CONSENT FOR RELEASE OF PERSONALLY IDENTIFIABLE INFORMATION
The undersigned hereby consent to the release of photographs and name of the Participant to be used by the Diocese of Columbus and St. Catharine of Siena for future promotional programs of the Diocese and Parish. If you have any questions or concerns, please contact Brendan O'Rourke at 614-231-4509
V. CODE OF BEHAVIOR
The Participant shall comply with the following:
1. The Participant must stay and participate in the entire event. The Participant may not leave the premises unless accompanied by an adult leader, parent, or legal guardian. 2. The possession or use of alcohol, tobacco, drugs, or weapons of any kind is not permitted. 3. Foul language is not tolerated. 4. The Participant must comply with any and all directions of activity staff. 5. The Participant must respect the rights and property of others. Damage to or defacing of property will be the financial responsibility of the Participant involved and the undersigned. 6. Failure to abide by this Code of Behavior may result in a request to the undersigned to transport the offending Participant from the premises, and the undersigned shall immediately comply with the request.
VI. Signatures
Participant's Digital Signature *
Participant's Digital Signature
Date *
Date
Parent or Legal Guardian's Digital Signature *
Parent or Legal Guardian's Digital Signature
Date *
Date

If you are paying by cash or check, simply hit submit and you are finished! (payment due by Jan. 15th)

If you want to pay online via St. Catharine's secure online giving site, hit submit and follow the directions given.