Saturday 4:00pm Church
Sunday 8:30am and 11:30am Church
Monday 9:00am Chapel (followed by the Novena to the Miraculous Medal)
Tuesday 9:00am Chapel
Wednesday 9:00am Chapel
Thursday 9:00am Chapel
First Friday's 11:30am Chapel (followed by adoration until 8pm, note only Mass on the 1st Friday)
The Parish Office Hours are 9:30am to 3pm Monday - Friday
Please support the Annual Cardinal's Appeal:
You can donate here: http://www.cardinalsappeal.org
Please remember to add our parish number which is: #518
Dorney Park and Wildwater Kingdom
Thursday, July 28, 2016
Leaving St. Mary’s at 8:00am
Arriving back at St. Mary’s at 9:00pm
Address ____________________________Date of birth __________________
Telephone ______________________E-mail ____________________________
Physician’s name & telephone ________________________________________
Any allergies or health concerns? _____________________________________
In signing this application, I hereby certify that the above information is correct, and give permission for my child to be transported by bus to and from the event, to and from medical facilities (if need be), and for the release of medical records to an attending physician. I agree not to hold liable the Archdiocese of New York, the Archbishop of New York, His Eminence Timothy Cardinal Dolan, the Church of the Immaculate Conception, Dorney Park and Wildwater Kingdom, Avery Transportation, and their officers, directors, or agents with respect to any and all actions, claims, or demands arising from this event.
I give my permission to whatever healthcare agency, and their personnel, to examine and treat my child in the event of an accident or illness that occurs when I am absent and unable to be reached. During this time I authorize the adult advisors and parish volunteers acting on my behalf, to consent to such medical and/or surgical treatment for my child, as may be deemed medically necessary or advisable.
Signature of parent/guardian _________________________________________
Telephone numbers (in case of emergency) _____________________________
❑ I am willing to chaperone.** ❑ I will be taking my own vehicle.
** The number of chaperones needed will be based on the number of attendees. **
This form must be returned to Fr. Newcomb
no later than Thursday, July 14.