St. Ann Church

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Home » Youth Event Permission Slip

Youth Event Permission Slip

Event Details

Event Name
Event Date

Youth Information

Youth Name
Gender
Grade

Emergency Contact

Emergency Contact Name (required)
Relationship to Youth (required)
Emergency Contact Phone Number (required)

Additional Needs

Allergies/remarks
Does your child need additional support? If yes, please explain

Parent/Guardian Information

Parent/Guardian Name (required)
Phone Number (required)
Email (required)
I want to volunteer

Volunteers

**Volunteers 14 & above MUST be VIRTUS Trained**

Name of Volunteer
14 & above (Y/N)
 Yes No
Stand Trained? (Y/N)
 Yes No
Name of Volunteer
14 & above (Y/N)
 Yes No
Stand Trained? (Y/N)
 Yes No
Name of Volunteer
14 & above (Y/N)
 Yes No
Stand Trained? (Y/N)
 Yes No

By my signature, I give the above-named youth permission to attend the above-named event and to be transported to, from and/or during the activity by a Virtus trained/certified volunteer or employee on the date of the event.

Parent/Guardian Signature (required)
Date (required)

**Current Year Liability Form Must be on File in the Parish Office to Attend**

Download Liability Form

  • Mass Schedule

    Daily Mass in the Chapel  8:00 AM   Enter at Parish Center and take elevator to the Chapel level

    Saturday    3:30 PM Reconciliation and      5:00 PM Vigil Mass

    Sunday Masses
    9:00 AM (with High Places the Contemporary Music Group)
    11:30 AM (with the Traditional Adult Choir

     

    Christmas Masses – Christmas Eve, Tues., Dec 24 at 4 pm (Children’s Liturgy); 7 pm and 10 pm. Christmas Day, Weds., Dec 25 at 10 am.

    Contact Us

    1525 Oak Hill Ave
    Hagerstown, Maryland 21742
    TEL: (301) 733-0410;  FAX: (301) 733-6218
    church@stannchurch.com

    For Mass Times when traveling, go to CatholicMassTime.org

    RADIO MASS & LOCAL CATHOLIC RADIO PROGRAM – Listen to the Radio Mass of Baltimore on Sundays live at 9:03am and 6:03pm WCBM 680 AM.  Following each airing of the Radio Mass is a locally-produced Catholic radio program, Catholic Baltimore, which features interviews and information relevant for Catholics in the Archdiocese of Baltimore.  For more information, visit www.archbalt.org.

  • View Our Bulletins

    The Archdiocese of Baltimore

    St Mary Catholic School

    St Maria Goretti Catholic High School

  • Events:

    • Saturday Vigil Mass at 5:00 pm

      Dec 14, 2019 5:00 pm
    • Cookies for Kids after all Masses

      Dec 14, 2019 5:00 pm
    • Annointing of the Sick after Masses

      Dec 14, 2019 5:00 pm
    View All Events
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St. Ann Church