Saint Rita Christmas Party
for our Friends with Special Needs of all ages
and their Families

General Information

Thank you for beginning the registration process for St. Rita Christmas Party for our Friends with Special Needs of All Ages.
 
We ask that there would be one adult for each guest with Special Needs to attend to their specific needs. St. Rita parish will provide a fun environment for our Friends with Special Needs and their family members enjoy a Christmas Party.

Parent / Guardian Contact Information

Persons with Special Needs Information

Saint Rita Christmas Party is for people with special needs and their family members.
Number of persons with Special Needs in your family that you are registering *

#1  Participant with Special Needs 
Please Indicate *
0/255 characters
0/1000 characters

#2 Participant with Special Needs  
Please Indicate *
0/255 characters
0/500 characters

#3 Participant with Special Needs 
Please Indicate *
0/255 characters
0/500 characters

 #4 Participant with Special Needs 
Please Indicate *
0/255 characters
0/500 characters

Additional Family Member Information

Number of additional family members that you are registering for the party *
St. Rita Christmas Party for Our Friends with Special Needs of all ages is intended for the individual with Special Needs of all ages, as well as their families.  Please know that we hope that this would be a family event.  There must be an adult attendant for our Friend with Special Needs to see to their specific needs.

Santa will have a gift for each sibbling.  

The information below will help Santa to pack his sleigh and prepare his bag of goodies for the party.

Family Member #1
Please Indicate *
0/255 characters

Family Member #2
Please Indicate *
0/255 characters

Family Member #3
Please Indicate *
0/255 characters

Family Member #4
Please Indicate *
0/255 characters

Hold Harmless

1.  I assume all risks and responsibility in connection with this activity for myself and my family members. I further release the Bishop of Cleveland, the Roman Catholic Diocese of Cleveland, St. Rita Parish and Pastoral Staff, employees and volunteers from all claims, judgments and liabilities for any injury or damage my child or his/her estate, myself or my spouse ever had or may have due to participation in this activity, including all risks foreseen or unforeseen. I fully understand what is involved in this activity, and that I have the opportunity to call Deacon Bob Grgic
@ 440-248-1350 ext. 121 to discuss this activity with him.

2.   I herby give my consent for administration of any medical treatment deemed necessary on myself or family members registered on this form by emergency medical personnel.

3.  Furthermore, I hereby consent and authorize the release, publication, distribution and/or reproduction of all photographs taken of myself or family members during this activity.
Acceptance of Terms *

captcha