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Appalachia Trip Forms and Information
The Appalachia Group is
preparing for its 15th annual trip to Preston County, WV
to volunteer their time and talents to the summer work
program thru the Catholic Church of Preston County.
Below are the forms and information needed to participate.
Any questions can be directed to Rose Koska at
724-316-7424, Charlotte Zilavy at 412-260-5384 or Trish Maizland
at 724-316-4792 or by email (trishm1953@gmail.com).
All forms must be returned by
June 7, 2010.
A box marked "Appalachia" will be
in the vestibule of church for your convenience. Or forms can
be given directly to Rose, Charlotte of Trish.
Booklet for ages 18 and older to read and
familiarize themselves with. The Catholic Church of Preston
County will hold a discussion at the orientation when we arrive
in WV for our week long stay. After the discussion, those 18 and
older will be asked to sign an acknowledgement:
Policy Relating to Sexual Abuse of Children - cover
Policy Index - pg 1
Preface - pg 2 & 3
Definitions - pg 4 & 5
Screening - pg 6 & 7
Obligation to Report - pg 8 & 9
Specific Procedures - pg 10 & 11
Other Roles and Responsibilities - pg 12 & 13
Supervision Procedures - pg 14 & 15
Last Page of Booklet - pg 16
The forms below are to be filled out by everyone going on
the trip regardless of age. If an entire family is going or more
than one person from a family, then one parish overnight
registration form will suffice.
Parish Overnight Registration
Consent to Treat
Code of Conduct
Form Instructions:
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The person should put as the name of the event:
Catholic Church of Preston County 2010 Summer Home Repair
Program
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the date of the event:
Sun. June 20 - Fri. June 25
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For name:
list ALL names of family members attending along with their age
and sex
school and grade can be listed as N/A
birth date should also be listed for each individual
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in the permission section:
the attendee should put in 6/20 - 6/25
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If the only person going is 18 or older, they
can sign for themselves where it says Parent/Guardian Signature
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if the person going is under 18 and no parent or
guardian is going, then their parent or guardian must sign
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The other information must also be filled in
regardless of age.
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A consent to treat form must be filled out for
everyone, regardless of age!
If the person going is 18 or older, they will sign for
themselves.
And again if under 18 and no parent going, the parent must sign.
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The Code of Conduct form must be signed by everyone
regardless of age. The code will be
discussed before going to WV for the week.
Rules for the Trip:
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The Summer Home Repair Program should be read by
everyone because it will be discussed at our orientation at St.
Sebastian Catholic Church the evening of our arrival in WV.
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St. Joseph the Worker Youth Camp Rules should be
read by everyone. This is where we will stay for the week and
the rules will be reviewed upon arrival at the camp.
Summer Home Repair Program
St. Joseph the Worker Youth Camp Rules
The forms below are advice on packing and
directions to WV:
Packing List
Directions to St. Sebastians
The forms below are for the White Water
Rafting Trip:
Cheat River Release Form
What to wear on the river
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