This Page Is for Parents to Keep.

St. Rose EDGE Lock-IN!

(This page is for parents to keep.) Who: All 6th, 7th, & 8th graders When: Friday, October 16th at 8:00pm to Saturday, October 17th at 8:00 am. Where: St. Rose Gym/Hall Cost: $30.00 per participant (make check payable to St. Rose EDGE) Includes: Pizza, Inflatables, Video Games, a Movie, Faith Activities, a T-shirt, and Breakfast. Return Form to: Barbara Fisher/EDGE at 615 Vine Ave. Roseville, CA 95678 *Space is limited. I must get an email or phone confirmation for attendance. Sign Up ASAP! Contact Barbara Fisher at [email protected] or (916)724-9501- Cell #.

All youth may begin to arrive at 7:50pm, and are allowed to bring handheld game devices, iPods, and tablets. It is to be noted that St. Rose EDGE is not responsible for any damage or loss of these items, and are solely the responsibility of the youth who brought them.

Sleeping bags are allowed for the youth who do not want to stay up all night. Please make sure your child wears modest clothing that fits well. We will be playing physical games and do not want any fashion mishaps. Please contact Barbara Fisher for any other inquires. St. Rose EDGE Lock-IN!

(Please turn this page in by Sunday, October 11th to Barbara Fisher.)

Youth’s Name:______T-shirt Size (Adult Sizes):______

2nd Youth’s Name:______T-shirt Size (Adult Sizes):______

Parent(s) Name:______

Home Phone #:______Cell Phone #:______

Email:______

I hereby authorize my child to attend the St. Rose Lock-In on Oct. 16-Oct. 17, 2015. I authorize the Youth Minister (Barbara Fisher) or other responsible adults to give emergency medical attention to my child. I have also signed a copy of the “Dioceses of Sacramento Youth Participation Form” or a St. Rose EDGE Registration Form, OR I have completed the attached form front and back.

______

Parent Signature Date

I also give permission for my child(ren) to watch the movie: Despicable Me (Rated PG)

______

Parent Signature Date

I am also interested in helping at this event in the following ways (check those that apply):

o I would like to donate snacks for the event: ______

o I would like to donate soda to this event

o I would like to chaperone the event (please fill in circle)

o 8pm-12am

o 12am-4am o 4am- 8am