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Service Day Grade 3: Universal School

Universal School

OPEN TO ALL GRADE 3 STUDENTS. Parents/guardians must register their child by Friday, April 12.

Service Site: Universal School, Bridgeview, IL

Volunteer Role: Students will work alongside St. Barnabas art teacher, Mrs. Bachler, and the Universal School art teacher. The day will focus on encounters and a shared art project as students make new friends, learn about one another, and create something beautiful. Food/snacks will be served.

Dress Code: Students will be creating an art project, so please wear clothes that can get “messy.” St. Barnabas spirit wear or gym uniforms are encouraged.

Fee: $12 fee for each student at St. Barnabas School (all grade levels and students pay the same fee regardless of volunteer opportunity).

Organization Description:  Universal School is a private, religious K - 12 Muslim school. Their mission is to prepare students to be global citizens who possess innovative and creative capabilities for achievement through a partnership between home and school that promotes Islamic values, respect, and tolerance.

www.universalschool.org

Chaperones: If you are interested in chaperoning, please indicate below. All chaperones are required to be current in Virtus training and certification. We welcome chaperones to help out; sign-up is first-come, first-served. For questions about Virtus volunteer requirements and training, please view our website.

Student Homeroom*
Answer Required
Parent/Guardian interested in chaperoning
please note: all adult volunteers are required to be up to date with their annual their Virtus certification.
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Permission Authorization*
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Parent/Guardian Signature*
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
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As a legal guardian, I fully understand and acknowledge that participation in this service opportunity may involve strenuous activity and certain risks of illness, injury, permanent disability, or death to participants due to such activities and that such risks may be inherent to the activities that participants will engage in, and may be unavoidable regardless of the care taken. I understand that by signing this document, which indicates that Student will voluntarily participate in this service activity despite any dangers involved and risks of illness, injury, permanent disability and death, I, on behalf of myself and Student, am waiving and releasing any and all claims for injury that Student might sustain as a result of participation.  If you have any questions regarding the nature of the activities related to this field trip, please contact the school or parish office.

I, on behalf of myself and Student, acknowledge and agree that by voluntarily participating in this activity, I assume any and all risks of illness, injury, permanent disability, death, or damage to person or property, as well as full responsibility for Student’s medical and liability insurance coverage and costs. I hereby represent that Student does not suffer from and is not under the care of a physician for any condition that would limit his/her participation in the activities.

In consideration of being permitted to participate in this activity, I, on behalf of myself and Student, and our heirs, executors, agents and assigns, hereby agree to waive, release, indemnify, hold harmless and agree not to sue the Catholic Bishop of Chicago, a corporation sole, and St. Barnabas School/Parish, and their administrators, employees, agents, representatives, volunteers, insurers, attorneys, clergy, assigns and successors, from and against any and all claims, demands, suits and causes of actions, whether known or unknown, past, present or future, including, but not limited to, any and all costs, expenses, and attorneys’ fees, by reason of any injury, illness, death, and damage/loss to property, whether caused by negligence or any other reason, arising out of, in connection with, or in any manner related to participation in this field trip.  Student agrees to comply with all conduct rules and health protocols.

I INTEND, BY MY ELECTRONIC SIGNATURE, TO PROVIDE A COMPLETE AND UNCONDITIONAL WAIVER OF CLAIMS AND RELEASE OF LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I HAVE CAREFULLY READ THIS RELEASE, WAIVER, AND PERMISSION FORM, FULLY UNDERSTAND ITS CONTENTS, AND SIGN THIS AGREEMENT FREELY AND VOLUNTARILY.

Required Student Service Day Fee*
There is a $12 fee per student that helps to cover bus and supply fees. If you wish to make an additional donation to help cover additional Service Day supply costs please check the "other" category.
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Confirmation Email