For this retreat, I am in need of 8-10 adults who are willing to Chaperone/help with various aspects of this event. It is important to have adult help to make this event worthwhile and meaningful for the students. Thanks in advance for your wiliingness to help out. If you are interested in helping please fill out the information below.

By typing my name below I acknowledge that as parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor ("participant"). I aree on behalf of myself, my child named herin, or our heirs, successors, and assigns, to hold harmless and defend St. Elizabeth Ann Seton Parish, its officers, directors, employees and agents, and the Diocese of Fort Wayne-South Bend, its employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of Fort Wayne-South Bend, its employees and agents and chaperones, or representative associated with the event for reasonable attorney's fees and expenses which may incur in any action brought againt them as a result of such injury or damage, unless such claim arises from the negligence of the parish/diocese.