We would like to invite all St. Mary’s School families to join the Booster Club. The Booster Club is there to support St. Mary’s Students in their extracurricular activities. This includes our basketball program, Talent Night as well as other activities that are of interest to our students. The programs reach out to ALL students and promote education in working as a team, good sportsmanship, and setting personal goals. We hope to develop the physical, mental and emotional skills demanded not only in sports but also in other areas that add to the full development of our students.


__________________ Grandparents Membership $20


_________________ Single Membership - $30


_________________ Family Membership - $60


_________________ Golden Membership - $125


Name _______________________________________________________

Address______________________________________________________

Phone Number ________________________________________________

Name as you like it on the board _______________________________________________________

(Check enclosed ___________ )

Permission to Travel Form

DIOCESE OF GREAT FALLS-BILLING
Parent Request Form for Field Trip Participation
(for Educational Purposes Only)

Date:

School Name: St. Mary’s Catholic School
School Address: 511 South F St
City: Livingston, MT 59047
Phone: (406)222-3303

Dear Parent or Legal Guardian,

Your son/daughter is eligible to participate in a school-sponsored activity requiring transportation to a location away from the school grounds. This activity will take place under the guidance and supervision of school personnel. A brief description of the activity follows:

Destination:

Designated Supervisor of Activity:

Date and Time of Departure: Date and Anticipated Time of Return:

Method of Transportation: Student Cost:

If you would like your child to participate in this event, please complete, sign, and return this form which includes the following statement of consent and release of liability. In signing this statement, you as the parent and legal guardian further acknowledge that you remain fully responsible for any legal responsibility or liability which my result from any personal actions taken by the child.

We hereby request for our child,______________________, to participate in the event described above. We understand that this event will take place away from the school grounds and that our child will be under the supervision of the designated school staff member on the stated dates. However, I also fully understand that some activities which take place away from school will involve inherent risks to my child regardless of all feasible safety measures that may be taken by the school staff. In consideration of the school allowing my child to participate in this event, we the parents and the legal guardians of our child, now assume responsibility for and hereby release and agree to indemnify, defend and hold harmless the Roman Catholic Bishop of Great Falls, Montana, the Diocese of Great Falls-Billings, the above-named school, the parish and their officers, directors, employees and agents, from all damages, claims, suits, expanses and payments on account of and resulting from any injury, death or property damage suffered by my child due to any accident or occurrence during the event, that is not the result of any willfully wrongful acts of any supervising school staff members(s), or any other employee or participation on this event, including the method of transportation.

________________________________ ________________________
Parent’s Signature Date

________________________________ _________________________
Address Emergency Phone Number


Please return this form by:___________________________________ .
Date of deadline for returning this Form





I CAN PROVIDE TRANSPORTATION FOR THE FIELD TRIP:


_______________ YES _________________NO

My vehicle holds driver + ___________ extra passengers with seat belts available.



For insurance purposes all drivers will need their driver’s licenses verified. Your MT driver’s license number and expiration date will be recorded on the Driver’s Insurance Form. You can bring the Driver’s Insurance Form to the office for verification prior to the field trip.



Educational value of this field trip________________________________________________.




Medical Release:
I, the parent of _______________________________, do give my permission to the chaperones for whatever emergency medical services that may be required for my child while on this field trip.