Summer Stretchers: Teen Leader
Summer Stretch 2017
St. Mary’s & St. Michael’s
Stillwater, MN
Summer Stretchers: Teen Leader:
Grades 6 -8 Grades 9 – College
(Fall 2017) (Fall 2017)
What is Summer Stretch all about?
Summer Stretch is designed for young people, boys and girls, who will enter grades 6, 7 and 8 in Fall 2017 as an opportunity to serve and have fun with friends: new and old! Stretchers are assigned to a small group which is led by 2-4 teen leaders, most of whom attended Summer Stretch themselves, to help develop a sense of community, fellowship and leadership.
What does a Summer Stretch day look like?
Most Summer Stretch days consist of gathering in the morning at St. Mary’s to check in, spend time together in prayer or scripture, and then depart for service site. After service, students spend time at an afternoon activity of fun! Leaders meet at 8am and Stretchers meet at 8:30am. All are done for the day by 4:30pm
What is expected of Stretcher?
We ask for a willingness to meet Middle Schoolers from other schools, build community, try new things, respect volunteers, respect leaders, respect staff and apply the Gospel to daily life.
What does Summer Stretch Cost? How do I register?
Cost for Summer Stretch is $70 for Stretchers and $55 for Teen Leaders. This cost is based on the average cost of bus transportation, supplies and admission fees (when applicable). The cost cannot be adjusted if a session is missed. Additional money may be needed for concessions or extras beyond what is provided for individual events.
Registration for Teen Leaders deadline: May 31st Registration for Stretchers Deadline: June 7th
*This program cannot happen without parent chaperones, registration is not considered complete without parent commitment to chaperone at least one day of Summer Stretch.
*Full payment must accompany registration.
St. Michael’s & St. Mary’s Catholic Church
Stillwater, MN
Participant’s Name: ______Gender: ______
DOB:______Age:_____ Parent/Guardian Name: ______
Address:______City:______State:______Zip:______
Home Phone: ______Cell: ______
Email: ______T-Shirt Size: ______
School of Attendance: ______Grade (Fall 2017): ______
I, ______(parent/guardian’s name), grant permission for my child, ______to participate in this event requires transportation to a location away from the parish site. This activity will take place under the guidance and direction of parish employees and/or volunteers from St. Mary’s & St. Michael’s Church. A brief explanation of the activities follow:
Type of Event: Summer Stretch 2017
Date: Wednesday’s July 5th – August 2nd
Destination of Event: Local service sites and afternoon activities
Individual in Charge: Lilvia Gomez
Start Time: Wednesday’s @ 8:30am – Leaders @ 8:00am
End Time: Wednesday’s @ 4:30pm – Leaders @ 4:45pm
Mode of Transportation: School Buses
Cost: $70/Summer Stretch participant OR
$55/Summer Stretch High School Leader
Drop Off & Pick Up: St. Mary’s Church
**My child will be using a season pass for Valley Fair: Yes or No ($20 discount)
As parent and or legal guardian, I remain legally responsible for any person actions taken by the above named minor (“participant”) in consideration of my child’s participation, I agree to indemnify St. Mary’s & St. Michael’s catholic Church and/or school and the Archdiocese of St. Paul/Minneapolis from any claims or law suits brought against St. Mary’s & St. Michael’s Catholic Church and/or School and the Archdiocese of St. Paul/Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by St. Mary’s & St. Michael’s Catholic Church and/or School and the Archdiocese in defense of such a claim/law suit.
Stillwater, MN
Medical Matter: I hereby warrant that to the best of my knowledge, the “participant” is in good health, and I assume all responsibility for the health of the “Participant”.
Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
Name: ______Phone: ______
Medical Information:
Medication my child is taking at present: ______
Family Health Plan: ______
Family Doctor: ______Phone: ______
As parent or guardian, I agree to all the above-stated considerations and conditions.
(Hard Copy Version)Signature: ______Date: ______
(Electronic Version)
*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. By typing my signature below as guardian, I acknowledge and agree to the conditions above.
Electronic Signature *
Please type your First and Last Name:
Date:
____ (please initial) I DO NOT give permission for my child to be photographed as part of this activity, for use in newsletters, bulletin boards, slide shows and future promotion of events.
Please feel free to use this space to provide us with any additional information.
Summer Stretch cannot happen without many parent volunteers and therefore no registration is complete without committing to volunteer for at least one entire Wednesday. Please select which Wednesday you would like to volunteer. (If you are able to volunteer more than one Wednesday we are happy to have you!) Have you complete a background check with us? Y or N Virtus Session? Y or N
Please circle all that apply (bold & italicize): July 5th July 12th July 19th July 26th August 2nd
*Please return this form to the Faith Formation Office at St. Michael’s OR Email back with electronic signature. (611 S. 3rd Street, Stillwater, MN 55082)