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Sacred Heart Catholic Church
1210 17-1/2 Road, Fruita, CO 81521
970-858-9605
Office Hours: Monday - Thursday, 9:30am - Noon and 1:00pm - 3:30pm
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Home
Welcome
Contact Info
Our Mission
Register On-Line
Update Registration
Parish/Finance Council
History
Liturgy / Sacraments
Mass Times
Liturgical Ministries
The Sacraments
Prayer Requests
Homily Archive
Youth
Family of Faith
K - 5
Middle School
High School
Confirmation
Events
Religious Ed Registration
Adult Faith
Men's Group
Women's Group
Become Catholic
Stay Catholic
Bible Study
Small Faith Communities
Parish Life
Donate
Flocknote
Hospitality
Links
Memorials
Monthly Calendar
Our Lady of Guadalupe Shrine
Our Videos
Photo Albums
Waiver & Release Form
Youth
Family of Faith
K - 5
Middle School
High School
Confirmation
Events
Religious Ed Registration
Waiver & Release Form
Sacred Heart Waiver and Release Form
The maximum number of form submissions has been reached. This form is currently not available.
ACTIVITY:
Various Sacred Heart Youth Group and Confirmation activities and day trips throughout the 2024/2025 school year.
LOCATION:
Various locations in Fruita and Grand Junction
I voluntarily wish to participate in the above described activity. As a condition of my being allowed to do so, I hereby, to the extent permitted by the law, release and discharge the Diocese of Pueblo, its constituent organizations, including but not limited to Sacred Heart, and their affiliates, officers, agents and employees, from all claims for personal injuries or property damage I may suffer as a result of my voluntary participation in the activity described above, including but not limited to any transportation to and from the event. This release includes whether or not such injuries or damage are caused by the negligence (active or passive) of any of the entities or individuals named or described in this release.
This Waiver and Release is intended to release and discharge in advance the promoters, sponsors, officials, leaders, the Diocese of Pueblo, the Bishop of Pueblo, a Corporation Sole, and Sacred Heart and their affiliates, officers, agents, and employees from all liability arising out of or connected in any way with my participation in the activity.
I agree to abide by the rules and regulation governing the above described activity and to obey any instructions given by the person or persons having supervision and control over the activity.
Child Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Child First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Parent/Guardian Full Name (if Child is under 18 years of age)
Please enter valid data.
I warrant and represent that I am eighteen years of age, or over, and upon request will produce satisfactory proof of age, or if under age 18, my parent or guardian will also sign this Waiver and Release
Yes, I am over 18 and agree to abide by all rules and regulations
The above-mentioned child is under 18. Both child and parent/guardian agree to abide by all rules & regulations
Submit
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