Sight and Sound Youth Group Trip

David

 

Cost: $120 per person (ticket and bus)

First come first serve.

Your reservation won't be held until a $30 non-refundable deposit per person is submitted.

Check payable to "St Jude Parish" or payable online at Saint Jude Parish: Online Giving (stjc.org) (If paying online, choose Youth Group Trip in pulldown menu)

**Please complete this form as well as the Hold Harmless Agreement and pay the deposit**

Personal Info
Name
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Address
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Your Phone --
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E-mail
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Name of Parent(s)/Legal Guardian(s)
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Phone of Parent(s)/Legal Guardian(s) --
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Medical Information
Family Physician
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Phone Number of Physician --
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Allergies
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Current Medications
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Medical History
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Emergency Contact Information
Name
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Address
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Home Phone --
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Work Phone --
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Cell Phone --
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Cost
Shopping Basket  
Quantity Extended

Trip Ticket | $120.00

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