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7/11 SF SplashDown Trip

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Location: SplashDown Waterpark

Date: July 11, 2025

Sign up Deadline: Monday, July 7th

Meet AT Holy Family: 14160 Ferndale Rd., Woodbridge VA 22193

Arrive time 11:00 AM at Holy Family

Pick up Time: 7:00 PM at Holy Family

Cost: $18 per participant

Bring lunch and money if you want food or snacks at the waterpark.

Summer Friendship T-shirts are required.

Family's Last Name*

Answer required for "Family's Last Name"

Participant #1 Name*

Answer required for "Participant #1 Name"

Participant #2 Name

Answer required for "Participant #2 Name"

Participant #3 Name

Answer required for "Participant #3 Name"

Participant #4 Name

Answer required for "Participant #4 Name"

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Parent/Guardian Email Address*

Answer required for "Parent/Guardian Email Address"

Parent/Guardian Phone Number*

Number Required

Are you willing to help drive kids to and from the field trip?*

Answer required for "Are you willing to help drive kids to and from the field trip?"

Yes

If so, have you completed your Diocesan background check?

Answer required for "If so, have you completed your Diocesan background check?"

Yes

I do not know

If yes to both previous questions, how many seats do you have available?

Answer required for "If yes to both previous questions, how many seats do you have available?"

Emergency Contact Name (other than parent)*

Answer required for "Emergency Contact Name (other than parent)"

Emergency Contact Email*

Answer required for "Emergency Contact Email"

Emergency Contact Phone Number*

Number Required

Please provide any important medical information that would be relevant to this trip:

Answer required for "Please provide any important medical information that would be relevant to this trip:"

Parental Permission and Liability Release As parent/legal guardian of the participant name above, I give my permission to participate fully in the Team Tactics field trip on June 21, 2024. I agree to indemnify and hereby release the Most Reverend Michael F. Burbidge of the Catholic Diocese of Arlington and his successors in office, as well as the Catholic Diocese of Arlington and all Diocesan clergy, employees, volunteers, and participating parishes and schools from any and all liability, claims, demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned of the participant resulting from said participant’s involvement in the above mentioned event (including transportation to and from the event). Furthermore, I on behalf of the participant hereby assume all risk of personal injury, sickness, death, damage, and expenses resulting from said participant’s involvement in the above-described event.*

Answer required for " Parental Permission and Liability Release As parent/legal guardian of the participant name above, I give my permission to participate fully in the Team Tactics field trip on June 21, 2024. I agree to indemnify and hereby release the Most Reverend Michael F. Burbidge of the Catholic Diocese of Arlington and his successors in office, as well as the Catholic Diocese of Arlington and all Diocesan clergy, employees, volunteers, and participating parishes and schools from any and all liability, claims, demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned of the participant resulting from said participant’s involvement in the above mentioned event (including transportation to and from the event). Furthermore, I on behalf of the participant hereby assume all risk of personal injury, sickness, death, damage, and expenses resulting from said participant’s involvement in the above-described event."

I am the Parent or Legal Guardian of the student named and give permission to participate in this field trip.

Informed Consent to Medical Treatment: I request that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment when a condition or injury arises that is serious enough that a reasonable person would seek care right away. I request and authorize physicians, dentists, and staff, duly licensed as Doctor of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures, and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. I assume full responsibility for all costs of such treatment. Further, should it be necessary for the participant to return home due to medical, disciplinary, or other reasons, I do hereby assume responsibility for the participant’s transportation home and any costs related thereto.*

Initial

Answer required for "Informed Consent to Medical Treatment: I request that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment when a condition or injury arises that is serious enough that a reasonable person would seek care right away. I request and authorize physicians, dentists, and staff, duly licensed as Doctor of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures, and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. I assume full responsibility for all costs of such treatment. Further, should it be necessary for the participant to return home due to medical, disciplinary, or other reasons, I do hereby assume responsibility for the participant’s transportation home and any costs related thereto."

Photo, Press, Audio, and Electronic Media Release: I authorize the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald to use and publish my child’s photograph, video and/or audio recording along with their name identifying them for educational, news stories, illustration and/or marketing purposes.*

Initials

Answer required for "Photo, Press, Audio, and Electronic Media Release: I authorize the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald to use and publish my child’s photograph, video and/or audio recording along with their name identifying them for educational, news stories, illustration and/or marketing purposes."

Agreement I understand and hereby agree to the terms and conditions of the participant’s involvement in the above-described event, and I freely execute this Acknowledgement with full knowledge of its content.

Answer required for "Agreement I understand and hereby agree to the terms and conditions of the participant’s involvement in the above-described event, and I freely execute this Acknowledgement with full knowledge of its content."

I am the legal guardian for the above minors and give my consent to the above release forms

Would you like to pay online or in person?*

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Online

In person

Quantity

Field Trip Fee per participant

Price: $18.00

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"