Youth Group Lock In

Just 4 Kicks Sports

6511 South State Road 67

Pendleton, IN 46064

www.just4kickssports.com

Nov 21-22

WHAT: We will spend the night at Just 4 Kicks Sports.

WHEN: Fri. Nov. 21 @ 8:00pm to Sat. Nov 22 @ 8:00am

Please meet us at Just 4 Kicks Sports at 8pm. If you are unable to meet us there, we will try to give as many rides as we can from the church. Please let us know by 11/17 because space will be limited. Please pick up your kids by 8am on Sat. morning.

FOR: All 6^th-12^th grades. You are allowed to bring one friend of the same gender.

COST: We ask that everyone bring a beverage & snack to share. Such as a 2 liter & a bag of chips.

CALL: Lori Hersberger- 485-7243 lhersberger@indy.rr.com

Kathi Dickerson- 326-8467 thumperaf@comcast.net

RSVP by Nov 17

I give ____________________________ permission to participate with the Youth Ministry Program of St. Thomas Church in the above described event. In the event of an emergency where medical treatment is required, I give permission to the church staff, sponsors or volunteers to administer first aid and/or obtain the services of a licensed physician. The individual action in response to the emergency will be held blameless. Neither the Archdiocese of Indianapolis, St. Thomas Parish, nor any representative of St. Thomas Parish shall be held liable for any injury, illness, death, or damages occurring as a direct or indirect result of this activity, and I indemnify and hold harmless those entities against any claims. I understand this is an opportunity for spiritual growth. Any behavior contrary to that purpose will result in immediate dismissal and the parents will be called to pick up their child. Also, parents are responsible for making restitution for any damages resulting from the inappropriate behavior of their child.

Signed:________________________________________

Date:_________________________