Dear Middle/High School Youth Ministry Families:

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Saint Benedict Catholic Church A Pennsylvania Charitable Trust 260 Bruno Road Greensburg, PA 15601 724-834-9045 voice 724-834-1880 fax stbenedict@dioceseofgreensburg.org http://www.stbenchurch.org Dear Middle/High School Youth Ministry Families: As the school year begins, we look forward to another exciting year of Youth Ministry at Saint Benedict Church! We have a variety of activities planned for youth in Grades 6 thru 12 that will provide spiritual, social, and service opportunities for all the teenagers of our parish community. As in the past year, Middle and High School Youth Groups will meet together on the first Sunday of the month. This will allow the youth of our parish to get to know one another, plan service and social projects together, and learn together. During in-depth discussions, we will break into two groups to meet the unique needs of each particular age group. So, the Middle School Youth Ministry Program for students in Grades 6-8 will meet in the Parish Center from 10:30-11:45 on the First and Third Sundays of each month with their coordinator, Renie Prengaman. Whereas, the High School Youth Ministry Program for teens in Grades 9-12 will meet in the Parish Center from 10:30-11:45 on the First and Second Sundays of each month with their coordinator, Michelle Ruby. Please look over the enclosed calendar listing all the gatherings and special events for this year. On Sunday, September 17, 2017 our parish will celebrate the kick-off of this year s Faith Formation and Youth Ministry Programs in the Parish Center following the 9:30 a.m. Mass. We will begin with the Blessings of the Backpacks and provide information on the exciting programs we have planned for this year. Please plan to attend with your teen. Please complete all registration forms and return on September 17. Remember that the only way we can really live the faith is by developing it, passing it on and allowing it to grow. We hope that you will encourage your teen to join us for our youth gatherings throughout the year. Peace and Blessings, Father Dan

YOUTH GROUP REMINDERS Please return all the enclosed forms on Opening Day Sunday, September 17 Remember to mark your calendars for: 1 st and 3 rd Sundays for Middle School 1 st and 2 nd Sundays for High School Permission Forms (both printed & electronic) will be needed for any event sponsored by the Diocese of Greensburg Texts, emails and bulletin announcements will be how we let you know of upcoming events We are looking forward to an awesome year of experiencing our Catholic faith together! Please contact us with any questions or concerns. 2

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Consent to Treat Form Partner Parishes of St. Benedict/OLG For September 1, 2017 through August 31, 2018 Name: Date of Birth: Home phone Age Grade Address City Zip Parish: Location: List only the Parent/Guardian(s) with whom participant resides. If adult, please list emergency contact info of closest adult relation: Mother/Guardian Name: Father/Guardian Name: Day Phone #: ( ) Evening Phone #: ( ) Mother Cell #: ( ) Father Cell: ( ) Other Emergency Contact Name: ( ) Health Insurance Co.: #: Physician: ( ) Phone: Policy Phone: Medications currently taken (prescription and non-prescription) and include dosage Allergies: Can this person be given the following by the medical coordinator? Ibuprofen Yes No Acetaminophen Yes No Benadryl Yes No Indicate any illness of which we should be aware. Adult/Parent/Guardian Signature: Date: 4

PHOTOGRAPHIC RELEASE LETTER For September 1, 2017 through August 31, 2018 We, the parents/guardians do hereby give our permission for him/her to attend Faith Formation for the 2017-2018 Catechetical Year. This release covers all Faith Formation related events at Saint Benedict, Marguerite and the Partner Parish of Our Lady of Grace Parish We do hereby release and forever discharge the Diocese of Greensburg and designated chaperones from any/all actions or suits in law or equity which we might hereafter have by reasons of injuries sustained by our son/daughter participating in the above mentioned activity. PHOTOGRAPHIC RELEASE LETTER I hereby grant to the Diocese of Greensburg, Pennsylvania, and its respective licensees, successors and assigns, the right and permission, with respect to those photographs taken of me or the minor named below on whose behalf I am signing, and with respect to any printed or electronic matter in connection therewith, to do the following: To include such photographs on the Diocese of Greensburg website and on print material (names of minors are not used for web or print media/publications without prior consent) I hereby release, discharge and agree to indemnify and hold harmless the Diocese of Greensburg and its legal representatives, licensees, successor and assigns, from all claims and demands whatsoever arising out of or in connection with the foregoing, and waive any right to inspect or approve the same. I hereby certify that I am the parent and/or guardian of a minor under the age of eighteen years, and hereby consent on behalf of said minor to the use of any of the photographs taken of said minor pursuant to the terms set forth in this Photographic Release, including, without limitation, the release, discharge and hold harmless provisions thereof. Signature of Parent and/or Guardian Printed of Parent and/or Guardian Date: 5