Registration deposit fee is non-refundable. Money earned in fundraisers is NOT refundable to participants that withdraw at any time.

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1 July 15: Travel to Chicago July 16-18: Mission Work at a variety of locations and fun evening activities in surrounding Chicago area July 19: Fun Day July 20-22: Steubenville Youth Conference in Kenosha WI Transportation: Coach Bus Cost: $390 per Person Fundraising Information attached $50 Deposit due with registration before February 18th $75 deposit due with registration beginning February 19th Contact Rob Masloski with Questions or rmasloski@st-patricks.org Registration deposit fee is non-refundable. Money earned in fundraisers is NOT refundable to participants that withdraw at any time.

2 Hello! I am happy to see that you are interested in joining us for our annual youth mission trip! Below is all of the essential information about fundraising. The New Process We recently instituted a new fundraising process, in order to hopefully make it easier for everyone involved. This year, each participant may earn 10% of the cost of their trip for every 2 hours they work, up to 8 hours. Additionally, they may also earn 10% by providing an item/ basket to the silent auction. So by working 8 hours, and donating an item/basket to the silent auction, each participant will reduce the cost of their trip by 50%. Details Adult Needs 1. Each participant will have a fundraising passport to record their hours on. These are available at the Youth Booth, if you have not yet received one. 2. We prefer for the youth to work our fundraisers whenever possible. Exceptions will be made when needed (ex. College students) 3. If you think you may be in need of scholarship funds to assist you in paying for the trip beyond the 50% from fundraising, please let Rob or Rheanna know as soon as possible. 4. Silent Auction Items/baskets donated by participants should be of an estimated value of $30 or more. Items do not have to be new, they can be items from around your home that you are ready to pass on. 5. All fundraising participants should make sure to arrive 15 minutes before their shift. Please also make sure to not sign up for overlapping shifts, or for shifts designated for particular groups, as notated on the online sign ups. 6. Youth should plan to participate in multiple fundraisers, rather than completing all 8 hours at one event, in order to ensure the success of all of the fundraising opportunities we are offering this year. For the Media Sale and 50s Diner, we specifically need adults (18+) with a background check on file to help as cashiers Additionally, for the 50s Diner and Breakfast Fundraiser, we are looking for a couple of adults that are comfortable with leading the kitchen process, specifically food prep, so if you are interested please let Rob or Rheanna know. Hours worked by adults for these positions will count as fundraising hours. Fundraising Opportunities All online sign ups can be found on the mission trip page of the parish website Media Sale January 27 th and 28 th Fish Fry February 16 th through March 23 rd Please only sign up for a maximum of two shifts per participant The Fish Fry online sign up is only available during the week, to prevent overlap with the paper sign ups during the weekend. If the sign up asks for a access code, please check back later. Fundraiser Breakfast April 8th, 2018 Fundraising Dinner April 28th Silent Auction Items/baskets due by April 8th, Silent Auction Closes April 28th. Plant Sale May 11 th through May 18 th If you think that you may need additional financial assistance in order to join us, please let me know, we are happy to work something out. Rob Masloski High School Youth Minister rmasloski@st-patricks.org x7628

3 Mission Trip Packing list What to bring: Mission Carry-on bus bag: Rosary & Bible Journal (if desired) and pen(s) Pillow Sweat shirt or small blanket Spending money (4 meals) Water bottle Snacks Small Backpack UNDER BUS packing. Air mattress (1 person per room will need this TBD) Bedding Towel or two (one for shower, one for swimming) toiletries Clothes Work clothes (t-shirts, jeans or shorts) Tennis Shoes Shower shoes/flip-flops Swimsuit Sunscreen Sunglasses or hat optional Socks Sweatshirt What to pack: Steubenville: Bible and Rosary Air mattress (one person per room will need this. TBD) Bedding/towel/ toiletries Shower shoes Kneeling pad (optional) Themed t-shirt for Saturday provided (total of two outfits packed for Saturday and Sunday) Sweatshirt Fan

4 Mission Trip Packing List Cont. What Not to Bring Tobacco, Alcohol, Drugs, or Weapons (Duh!) Any youth with any of these items, will be sent home at the family s expense. Electronic games, media, and media devices DVD s Anything you don t want to break, lose, or have stolen Discouraged, but allowed Camera Phones (youth are welcome to use Rob s phone to call home) Dress Code 1. All youth, young adults, and Chaperones will be held to the same standard 2. We are responsible for being representatives of the Church and examples of dignity and God s love to everyone we meet 3. No Tank Tops-unless swimming (rolled sleeves allowed) 4. Shorts should be one hand-width above the knee or longer 5. No yoga pants or leggings, unless worn under dress-code-appropriate clothing. 6. Swimsuits: Men must wear a shirt when no longer in the water Women: one piece or tank-ini or two piece with a tank top or t-shirt over top. 7. Dress code must also be followed when traveling to and from shower areas.

5 REVEALED Youth Summer Mission Trip Student/Participant Name Date of Birth Gender Student (optional) T-shirt Size Parent/Guardian Name Parent/Guardian Name Home Address Home Address Home Phone Home Phone Work/Cell Phone Work/Cell Phone Parish/School _St Patrick Catholic Church Date of Event/Field Trip 7/16/18-7/22/18 Type of Field Trip Mission Trip Student Cost $390 ($50 deposit due with registration before Feb 18th) Destination Chicago IL and surrounding area, and Kenosha WI Individual(s)/Teacher(s) in Charge Rob Masloski Estimated Time of Departure Morning of 7/15/18 Return Evening of 7/22/18 Mode of Transportation to & from Event/Field Trip Coach Bus EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I give permission to transport my child to a hospital. I agree to allow my child to receive emergency medical treatment at my expense at the discretion of the event sponsor. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, if you are unable to reach me at the above numbers, contact: Name Relationship Phone Number HEALTH INFORMATION: Medication my child is taking at present For headache or minor pain, my child may be given Allergies Other Medical Conditions Insurance Company Family Health Plan carrier number Family Doctor Phone Number I,, GIVE PERMISSION FOR Parent or Guardian Name Child Name TO PARTICIPATE IN THE ABOVE-DESCRIBED EVENT. I warrant that my child is in good health. In consideration of my child s participation, I agree to indemnify the parish/school from any claims or law suits brought 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 the parish/ school in defense of such a claim/suit. I agree to drop my child off at the departure location at least 15 minutes prior to departure and to provide transportation home at my expense. I agree that I am responsible for my child s conduct and actions. The event sponsor is not responsible for any injury or damage incurred or caused by my child. I understand that my child is required to comply with the Code of Conduct provided by the St Patrick Catholic Church while participating in the event. I understand that if my child violates the Code of Conduct he/she may be required to be transported home at my expense. Parent/Guardian Signature Date

6 MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. (Of the following statements pertaining to medical matters, sign only those that are applicable.) Medical Treatment: In the event it comes to the attention of St Patrick Catholic Church, its officers, directors and agents, and the Archdiocese of Saint Paul and Minneapolis, chaperons, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called collect (with phone charges reversed to myself). Medications: My child is taking medication at present. My child will bring all such medications necessary, and such medications will be well -labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are indicated on attached Prescription Drug & Medical Authorization Form. No medication of any type, whether prescription or non-prescription, may be administered to my child unless the situation is life-threatening and emergency treatment is required. I hereby grant permission for non-prescription medication (such as non-aspirin products, i.e. acetaminophen or ibuprofen, throat lozenges, cough syrup) to be given to my child, if deemed appropriate. Specific Medical Information: St Patrick Catholic Church will take reasonable care to see that the following information will be held in confidence. Allergic reactions (medications, foods, plants, insects, etc.): Immunizations: Date of last tetanus/diphtheria immunization: Does child have a medically prescribed diet? Any physical limitations? Has child recently been exposed to contagious disease or conditions, such as mumps, measles, chickenpox, etc.? If so, date and disease or condition: You should be aware of these special medical conditions of my child: