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 to all youth. Holy Spirit School Students will be dismissed to the Youth Room after school. Please follow school policy in regard to notifying your student's teacher/s.
Non Holy Spirit School Youth

Parents should park in the upper lot near the rectory (not on the carpool side even though the chains will not yet be up) and walk their child to the Youth Room. NO ONE should attempt to walk through the moving carpool lines once they have started! Carpool starts at 3:05 pm.
How many youth will be attending?*
Any allergies we need to be aware of?
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 if you have one. We will use that to dismiss the youth from MI.
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.

Youth 1