Valleyfair Trip 2026

Valleyfair Fun Day

Thursday, August 13, 2026
A brief description of the activity follows:

Type of Event: Youth Social Event: Valleyfair Amusement Park including rides, water park, and walking around the park

Date of Event: Thursday, August 13, 2026 from 9:00 AM to 6:30 PM (Arrive and return to SMOL)

Cost: $55 (Participants will have to purchase lunch. Valleyfair is a cashless location.)

A minumum of 15 participants is needed for this event. In case of cancelation, the $55 fee will be refunded.

Destination of Event: Valleyfair
One Valleyfair Drive, Shakopee, MN 55379

Individual(s) in charge: Michelle Boris, Manager of Youth Discipleship; office: (651) 429-7771, option 1| cell: (612) 405-8703 | e-mail: mboris@stmarys-wbl.org

St. Mary's chaperones

Estimated Time of Departure:

Arrival to St. Mary of the Lake: 9:00 AM AM (Check in, prayer, etc.)

Depature: 9:30 AM from St. Mary of the Lake Parish Life Center; Estimated 10:15 Arrival at Valleyfair

Estimated Time of Return: Approximately 6:30 PM to PLC (Group will depart Valleyfair around 5:30 PM)

Mode of Transportation To & From Event: School Bus

Participant's Name

First NameLast Name
Birthdate

MonthDayYear
Date
Gender
Grade
Participant's Cell Number

Area CodePhone Number
Primary Parent/Guardian Name

First NameLast Name
Primary Parent/Guardian Email
example@example.com -- This email will be added to subscription list for email communications.
Primary Parent/Guardian Phone Number

Area CodePhone Number
Primary Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Phone Number

Area CodePhone Number
Parent/Guardian #2 Email
example@example.com -- This email will be added to subscription list for email communications.
Parent/Guardian #2 Address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Medical Matters
Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment.
Emergency Contact Name (if you cannot be reached at the numbers provided)

First NameLast Name
Relationship
Cell Phone Number

Area CodePhone Number
Home Phone Number

Area CodePhone Number

Specific Medical Information

St. Mary of the Lake will take reasonable care to see that the following information will be held in confidence.
Child's Allergies or Medical Conditions
Child's Medications
Family Doctor/Physician's Name
Phone Number

Area CodePhone Number
Family Health Plan Carrier
Policy/Identification/Group Number

DISCLOSURE, AUTHORIZATION AND CONSENT FOR SOCIAL MEDIA OR OTHER ELECTRONIC COMMUNICATION INVOLVING MINORS

This form is valid for one year from August 1, 2026 - July 31, 2027 and applies to all youth ministry and youth formation events through St. Mary of the Lake. If you have completed this form during this time period and do not need to update your preferences, you do not need to complete it now. A reminder will be emailed to you when the renewal date in close.
Have you completed this form within the last year?

AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS OF MINORS

This form allows you, the parent or guardian, to identify if images of your child and their original works may be used for purposes of print, online, social media communication and promotion. This form is valid for one year from August 1, 2026 - July 31, 2027 and applies to all youth ministry and youth formation events through St. Mary of the Lake. If you have completed this form during this time period and do not need to update your preferences, you do not need to complete it now. A reminder will be emailed to you when the renewal date in close.
Have you completed this form within the last year?
AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS OF MINORS

Communicable Disease Release, Hold Harmless & Indemnification Agreement
I Parent's name* grant permission for my childChild's name* to participate in this parish event that requires transportation to a location away from the parish site. This event will take place under the guidance and direction of parish employees and/or volunteers from St. Mary of the Lake Catholic Church.
I understand and agree that as parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“student/participant”). Further, I hereby warrant that to the best of my knowledge, my child is in good health and I assume all responsibility for the health of my child.

I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend St. Mary of the Lake, its officers, directors, employees and agents, and the Archdiocese of Saint Paul and Minneapolis, its employees and agents, chaperones, or representatives associated with the event and activities (hereinafter “Releasees”), from any claim, including but not limited to all claims relating to communicable disease, arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate Releasees for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of Releasees and is not related to communicable disease (see communicable disease release, hold harmless and indemnification agreement below).

Communicable Disease Release, Hold Harmless & Indemnification Agreement: I agree to hold Releasees harmless, release, defend, and indemnify Releasees for any communicable disease claim arising out of the above Event that is brought against Releasees by myself, participant, my family members, heirs, assigns, executors, and personal representatives. I understand and agree this communicable disease release, hold harmless, and indemnification agreement includes claims based on the actions, omissions, or negligence of participant, myself, and others, including, but not limited to the Releasees.
As Parent or Guardian, I agree to all of the above stated considerations and conditions.
By typing my signature below, I acknowledge and agree this electronic or digital signature is the legally binding equivalent to my handwritten signature. This electronic or digital signature has the same validity and meaning as my handwritten signature. By typing my signature below as guardian, I acknowledge and agree to the conditions above. Electronic Signature
Please type your full name

First NameLast Name
Date

MonthDayYear
Date
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Valleyfair Fun Day

Medical Matters

DISCLOSURE, AUTHORIZATION AND CONSENT FOR SOCIAL MEDIA OR OTHER ELECTRONIC COMMUNICATION INVOLVING MINORS

AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS OF MINORS

Communicable Disease Release, Hold Harmless & Indemnification Agreement