Participation Forms

St. Mary Parish – Day of Service
Senior Leaf Raking Day

supporting Berea Community Outreach
Donuts, coffee & cider at 8:30 a.m. @ St. Mary’s

Registration Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number Please enter a phone number.

Participants (include yourself) REQUIRED Please fill out this field.
Participant 1
- T-Shirt Size Small Medium Large X-Large 2X-Large
Participant 2
- T-Shirt Size Small Medium Large X-Large 2X-Large
Participant 3
- T-Shirt Size Small Medium Large X-Large 2X-Large
Participant 4
- T-Shirt Size Small Medium Large X-Large 2X-Large
Participant 5
- T-Shirt Size Small Medium Large X-Large 2X-Large

I / we need Transportation ... Yes No

I can drive others that day ... Yes No

Participation Agreement:
In consideration of my child being allowed to participate with this project I hereby assume all risks in connection with this project and I further release, discharge, and/or otherwise indemnify the Diocese of Cleveland, the Bishop of the Roman Catholic Diocese of Cleveland, St. Mary’s Berea, employees and volunteers from all claims, judgments, liability by or on behalf of my child, myself and my spouse for any injury or damage due to the child’s participation with this tool including all risks connected therewith whether foreseen or unforeseen. Furthermore, I acknowledge that it is my responsibility to provide adequate health insurance for my child.

I fully understand what is involved with this project and I understand that I have the opportunity to contact St. Mary Parish with any questions.

I Agree Please select this field.

Participation Forms

St. Mary Parish – Day of Service Senior Leaf Raking Day supporting Berea Community Outreach Donuts, coffee & cider at 8:30 a.m. @ St. Mary’s

St. Mary Parish – Day of Service
Senior Leaf Raking Day

supporting Berea Community Outreach
Donuts, coffee & cider at 8:30 a.m. @ St. Mary’s