Tailgate | Seton

Student's First Name *

Student's Last Name *

Mailing Address

City

State

Zip

Phone

Student's Current Grade *

Grade School *

Bridgetown Middle School
Delhi Middle School
Holy Family School
Our Lady of Grace School
Our Lady of Lourdes School
Our Lady of the Visitation School
Our Lady of Victory School
Rapid Run Middle School
Resurrection of Our Lord School
Springmyer School
St. Aloysius Gonzaga School
St. Antoninus School
St. Boniface School
St. Catherine of Siena School
St. Dominic School
St. Francis de Sales School
St. Francis Seraph School
St. Ignatius Loyola School
St. James the Greater School
St. John the Baptist School
St. Joseph School
St. Jude School
St. Lawrence School
St. Lawrence-Lawrenceburg, IN
St. Martin of Tours School
St. Mary's - Lawrenceburg
St. Teresa of Avila School
St. William School
Three Rivers
St. William
Other

If OTHER, please list here:

Does your daughter or son have any allergies or medical concerns? * If yes, please list here.

I have read and accept the media release statement below: *

I give Seton High School permission to use my child’s name and image, in all forms of media, for use in conjunction with Seton High School.

I have read and accept the Medical Release statement below: *

I certify that my child has no injury that would limit her/his participation in camp.

The below signed parent/guardian does hereby delegate to Seton, its employees or agents, the authority to seek, obtain and approve any medical care and treatment for the named minor, which in their judgment is necessary for the health and well-being of said minor during her attendance at the event.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Emergency Contact Name * Please enter the person's full name

Emergency Contact Phone Number *

Please provide an email address for confirmation *

Future Saints and Panthers Tailgate RSVP