Militia Immaculata Permission Form

Online Permission Form for participants of the Militia Immaculata Rosary Group

Does your youth(s) attend Holy Spirit School?*
- Yes
- No
This group is open only to Holy Spirit School Students who came to school that day. (**If for some reason you did not come to school you should not come to MI)
How many youth will be attending?*
Youth 1
Name*
First Last
Grade & Homeroom*
Youth 2
Name*
First Last
Grade & Homeroom*
Youth 3
Name*
First Last
Grade & Homeroom*
Dismissal
At the end of the meeting we will walk the youth to the front doors of the school. Please form a carpool line along the sidewalk.
Does your youth get dismissed to extended day?*
- Yes. Please dismiss my youth to extended day.
- No. I will pick up my youth curbside.
Please select one of the above. If you're youth gets dismissed to extended day we will make sure to get them there.
Car Number for Curbside Pick-Up*
Please tell us your family's assigned car number for school pick-up. We will use that to dismiss the youth from MI.
REQUIRED: Diocesan Youth Agreement Form
This form must be filled out and turned in per youth registered. Please email this back to our office at [email protected] before arriving your first Militia Immaculata meeting.
- Diocesan Required Agreement for Youth Participants
Acknowledgement of need to Sign and Return Above Diocesan Agreement*
- Yes I have. I will email them shortly.
Please check above acknowledging that you have printed out the above form and will turn in one per youth attending this years Militia Immaculata meetings.
Parent Info and Permission
Name*
First Last
Phone*
Email*
Consent*
By submitting this form I agree to have my youth(s) participate in the Militia Immaculata meeting for their duration.

Militia Immaculata Permission Form

Militia Immaculata Permission Form

Youth 1

Youth 2

Youth 3

Dismissal

REQUIRED: Diocesan Youth Agreement Form

Parent Info and Permission