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Make a Mess Service Weekend
July 31-August 2, 2015
Open to children, youth, college and adults.
Registration deadline is July 8.
Make a Mess Service Weekend - July 31-August 2, 2015
Deadline: July 8
Family Participants and Adult Participants
Project Guidelines:
This project is open to youth and adults of all ages in the parish. The event is free. Non-parishioners or friends are welcome to participate for a
fee of $25.
Projects will take place in East Tennessee on Aug 1-2, 2015. July 31 will be REQUIRED orientation, fellowship, and teambuilding beginning at 7
pm. The weekend will include dinners, mass, programming, and more. An event schedule will be posted soon.
Participants in grades 6-12 can participate without a parent/guardian present. We will arrange to have a certain number of chaperones available
for the middle and high school students.
Any child who is in 5th grade or below must have a parent present the ENTIRE weekend with them in order to participate. The parent is
responsible for supervising their children at all times. The parent must be VIRTUS trained. Your elementary age child will also be working on a work
team with you.
If you are an adult (college age or older) who is not VIRTUS trained, you may participate, but you will be placed on a team with other adults only.
Any adult participating on a team with children MUST be Virtus Trained and undergo a background check ahead of time. Adults without children
are welcome to participate. The class and background checks must be completed before the weekend. You will also have a driver’s check
completed. VIRTUS training will be offered in Knoxville in various locations. Classes can be found at
https://www.virtusonline.org/mytraining/live_registration.cfm.
All participants will sleep each evening at home.
Participants should be present in the entire weekend of orientation, service and activities.
There are alternate opportunities available beyond work projects including meal teams, prayer teams, set-up/clean-up, shoppers, material
delivery, and donation of supplies. Please contact Annie at 474-8609 or [email protected] about these opportunities.
Family participants (with 5th graders and under) will stay together as a family unit for service projects. Service projects will be age appropriate.
For our younger families, projects may include working at Second Harvest Food Bank, working on our parish grounds, trash clean-up, etc. You will
be responsible for driving your family to the service site (we will provide directions).
Cell phone use for adults and teens should be kept to a minimum.
Participating adults with children in grades 6-12 may opt to stay as a family unit for the service projects or be split in age appropriate groups with
another adult chaperoning.
Participating children and parents in 5th grade or under should be able to physically, mentally and emotionally handle all of the activities including
service projects and programming.
A permission form and medical form is required for EVERY participant (youth and adults).
Registration deadline is July 8.
To register: 1) Signup online at http://vols.pt/3sdeNV AND
2) Submit this registration form to parish office.
Make a Mess Service Weekend - July 31-August 2, 2015
Participant Name
Address
Cell Phone
Age
City
Email
Deadline: July 8
Grade
Zip
School
Gender
Tshirt Sz
Circle YES or NO as it applies below:
I am a youth participant (grades 6-12)
Adult Only: I am a VIRTUS trained adult.
Adult Only: I have completed a background check by All Saints Church.
Adult Only: I will have children participating in Make a Mess Service Weekend
Adult Only: I am an adult participant over the age of 21.
Adult Only: I am a college age participant.
Adult Only: I am willing to transport others to a worksite if needed.
Adult Only: I would like to place on the same team with my middle school/high school student.
If yes, please list the TOTAL number of seatbelts in your vehicle including driver.
I understand that I have children in 5th grade or younger, a parent must be present the entire weekend.
If you are an adult who is participating with your child, please fill out the section below:
Adult Name
Age
Grade
Adult Name
Age
Grade
Child Name
Age
Grade
Child Name
Age
Grade
Child Name
Age
Grade
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
YES
School
Gender
Gender
Gender
Gender
Gender
Liability Release: I, the undersigned, individually, on behalf of the minor child’s other parent/guardian and on behalf of the child listed above, acknowledge that
participation in activities and travel off of the church property involve certain risks. I, on my own behalf, hereby release, discharge and indemnify All Saints Catholic
Church, its employees, agents, and all volunteer personnel from all liabilities for damage, injury, or illness to the minor child or his/her property during his/her
participation in any activity or travel to or from any activity away from or off of church property. I understand that any activity requiring transportation from
church property in any situation other than emergency will require a signed release for each activity.
I agree that my child has permission to be photographed for parish and diocesan events and published in parish/diocesan publications.
Adult Signature _________________________________ Date _____________
Adult Printed Name ________________________________________________
**Please fill out medical form on reverse.
**Please fill out medical form on reverse.
ALL SAINTS CATHOLIC CHURCH
Participant Name
Age
Adult Name
Health Issues?
Physical Limitations?
Skill Level: 1 being the least, 5 being the most; rank your skill
Special Skills:
Special Skills:
Deadline: July 8
Allergies?
Medications
Painting
Carpentry Yardwork
Food Bank
Code of Conduct
1. The use of drugs, tobacco, alcohol, fireworks, matches, lighter, or items that endanger people or property are strictly forbidden.
2. Clothing must be appropriate (Please remember we are at church).
3. Language and behavior should exemplify Christian values.
4. You are expected to respect the rights and property of others.
5. No participants are allowed to leave the premises (defined as the area which the activity is taking place) without the express permission or the coordinator or teacher.
6. Each participant is expected to participate in ALL activities of each event.
7. CELL PHONES are only permitted to be used before and after activities. If a cell phone becomes distracting to an activity or event, it may be confiscated by any youth minister,
program coordinator, or adult volunteer for the remainder of the event. A parent will have to come pick up any confiscated cell phone during church office hours.
I agree that my child is expected to abide by all rules and regulations as outlined in the code of conduct. I agree that if my child fails to abide by this code or engages in any infraction
that is deemed by the coordinator to be inappropriate, he/she will be dismissed from this activity and sent home at my expense with no right of reimbursement.
Parent Signature _________________________________ Date _____________
I have read the forgoing and understand the Code of Conduct for participants and I will abide by them. In addition, I will abide by all directs given me by the coordinators, adult
chaperones and teachers; unless they are morally, physically or emotionally dangerous to me. In such a case, I will seek out another adult for advice. I understand and agree that my
parents or guardians will be notified at the time of any infraction requiring my dismissal from this event and That I will be sent home at the expense of my parent or guardian. I also
understand that being in possession of any tobacco products, alcoholic beverages or drugs is cause for automatic dismissal from any event and a parent will have to come and pick up
child regardless of time or distance.
Youth Signature ___________________________________Date _____________