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His Hands and Feet 2024 Registration

It is with heavy heart that we announce that His Hands and Feet is cancelled for 2024.

Register online below or click here for printable registration form
Who: Grades 7+ (fall 2024)
What: Join teens/young adults/adults* from local area parishes for a camp/mission full of faith, fun & service
When: Aug 11-14:(Sun-Wed)
Check In: Sunday 4pm
Mass: Sunday 6pm
Drop Off: 8 am Monday-Wednesday
Pickup: 8:30 pm Sunday - Wednesday
Where: St. John Neumann Parish, 708 Milford Road, Merrimack, NH
Cost: $100 (including $25 non-refundable registration fee); not to exceed $250/family. Individual parishes may also do fundraising to lower cost for participants.
NOTE: this cost covers some costs associated with mission work being done.

*Participating adults will need to complete Safe Environment requirements. You can be part of a team, a "runner" bringing supplies to sites, help in kitchen or with night program.
Contact Cheri (SJN), Val (St Kathryn's) or Deacon John Castelot (OLM) for more information
After you complete the online registration form below, please give or mail check, made out to your parish with note "His Hands & Feet", to your youth minister.

Thank you!
Online Registration Form-Youth
The maximum number of form submissions has been reached. This form is currently not available.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian Name (if adult, "self") REQUIRED Please fill out this field. Please enter valid data.
- Address Please enter valid data.
- Primary email REQUIRED Please fill out this field. Please enter an email address.
- Primary Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Cell Phone Maximum 20 characters Please enter a phone number.
- Emergency Name (if you cannot be reached) REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Family Physician Name REQUIRED Please fill out this field. Please enter valid data.
- Family Physician Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Insurance Company REQUIRED Please fill out this field. Please enter valid data.
- Policy Number REQUIRED Please fill out this field. Please enter valid data.
- Number of Participants Registering REQUIRED Please fill out this field.
  
  Participant 1
  
  Participant Name REQUIRED Please fill out this field. Please enter valid data.
  
  If different, go by name: Please enter valid data.
  
  Grade in Fall 2024 REQUIRED Please fill out this field.
  
  Medical Condition / Allergies Please enter valid data.
  
  Prescribed Medications Please enter valid data.
  
  Participant 2
  
  Participant Name REQUIRED Please fill out this field. Please enter valid data.
  
  If different, go by name: Please enter valid data.
  
  Grade in Fall 2024 REQUIRED Please fill out this field.
  
  Medical Condition / Allergies Please enter valid data.
  
  Prescribed Medications Please enter valid data.
  
  Participant 3
  
  Participant Name REQUIRED Please fill out this field. Please enter valid data.
  
  If different, go by name: Please enter valid data.
  
  Grade in Fall 2024 REQUIRED Please fill out this field.
  
  Medical Condition / Allergies Please enter valid data.
  
  Prescribed Medications Please enter valid data.
  
  Participant 4
  
  Participant Name REQUIRED Please fill out this field. Please enter valid data.
  
  If different, go by name: Please enter valid data.
  
  Grade in Fall 2024 REQUIRED Please fill out this field.
  
  Medical Condition / Allergies Please enter valid data.
  
  Prescribed Medications Please enter valid data.
  
  Participant 5
  
  Participant Name REQUIRED Please fill out this field. Please enter valid data.
  
  If different, go by name: Please enter valid data.
  
  Grade in Fall 2024 REQUIRED Please fill out this field.
  
  Medical Condition / Allergies Please enter valid data.
  
  Prescribed Medications Please enter valid data.
- PHOTO & VIDEO CONSENT
  
  I hereby authorize the Catholic Diocese of Manchester and His Hands & Feet and its agents to utilize photographic and/or video images of me or my child by the Catholic Diocese of Manchester. In giving my consent, I hereby indemnify and hold harmless the Catholic Diocese of Manchester and His Hands & Feet and its agents from any and all responsibility of liability. I understand that I will receive no compensation should any photograph and/or video of mc or my child be used.
- I consent (see photo/video use above) REQUIRED Yes No Please fill out this field.
- I (name below), am custodial parent/legal guardian of the participant and request that s/he be allowed to participate in His Hands and Feet mission to be home-based at St. John Neumann Parish in Merrimack, NH Aug 11-14, 2024.
  
  Medical Authorization:
  
  I understand that the Catholic Diocese of Manchester and particpating parishes assume no responsibility for accidents which may occur in association with diocesan events and activities. I agree to use my/our personal insurance to cover any such incidents. I understand that, in the event medical intervention is needed, every' attempt will be made to contact the persons listed above. In the event those individuals cannot be reached, I/We hereby give permission to the physician or any other qualified medical staff selected by the event leader to hospitalize, secure medical treatment, and/or order injection, anesthesia, or surgery for Participant as deemed necessary.
  
  Release of Liability. for Youth and Adults:
  
  I understand all reasonable safety precautions will be taken at all times by the Catholic Diocese of Manchester and its employees and agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree to indelnnify and hold harmless the Catholic Diocese of Manchester, its leaders, employees and volunteer staff from any and all claims arising from or in connection with attending this event.
  
  Code of Behavior for Youth and Adults:
  
  I agree to abide by and/or instinct my child to abide by all rules and regulations as outlined by the aforementioned chaperones/representatives. I agree that if I/participant fail(s) to abide in any way by the rules, that I/Participant can be dismissed from the event, and sent home immediately at my/Participant's expense with no right of reimbursement or refund for any amount in connection therewith from the Catholic Diocese of Manchester or its chaperones/representatives.
- Submittal constitutes electronic signature of named parent/legal guardian below REQUIRED Please fill out this field. Please enter valid data.
Total:

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- Live Our Faith

His Hands and Feet 2024 Registration

It is with heavy heart that we announce that His Hands and Feet is cancelled for 2024.

Register online below or click here for printable registration form

**Register online below or click here for printable registration form**