MEDICATIONS NOTES: All participants (minors) should bring their own regularly taken medications, and such medications should be clearly labeled. I understand that my child will be required to turn all prescription and non-prescription medication(s) over to a supervising adult designated to keep medication(s). I further understand that it will be this child's responsibility to present himself/herself at a location designated for returning medication(s) to this child at the frequencies/times described when turning in the medications. I understand that the adult to whom this child surrenders the medication has no medical training and this adult will not measure dosages. This child will return the medication(s) to the adult after he/she self-medicates. At the conclusion of the event it will be this child's responsibility to pick up remaining medication(s), if any, at the self-medication designated location. If the child is unable to self-medicate (measure dosages), the child's parent/guardian will attend the event/session and provide and dispense any needed medication(s).
I, the parent(s)/guardian(s)/conservator(s) of Child Participant grant permission for my son/daughter listed in this permission form to participate in the parish event and youth activities described on this permission form.
In consideration for allowing Youth to participate in youth activities and functions, in-person and/or via virtual meeting. I/we, the parent(s)/guardian(s)/conservator(s) of Youth, grant permission for Youth to travel to and participate in youth events and activities. I/we assume all risks and hazards incidental to Youth's participation in the Event, including transportation to and from the Event. In consideration for allowing Youth to participate in the event listed above, and on behalf of myself/ourselves and Youth's parents, legal guardians, siblings, heirs, assigns, and personal representatives, I/we hereby release and agree to fully and unconditionally protect, indemnify, and defend the Parish, the Roman Catholic Diocese of Dallas, and their respective officers, agents, and employees, (collectively, "Indemnitees") and hold each Indemnitee harmless from and against any and all costs, expenses, attorney's fees, claims damages, demands, suits, judgments, losses, or liability for injuries to property, injuries to persons (including Youth) and from any other costs, expenses, attorney fees, claims, suits judgments, losses, or liabilities of any and every nature whatsoever arising in any manner, directly or indirectly, out of, in connection with, in the course of, or incidental to Youth's participation in youth events and activities, REGARDLESS OF CAUSE OR OF THE JOINT, COMPARATIVE OR CONCURRENT NEGLIGENCE OF THE INDEMNITEES. In the event any legal action is taken by either party against the other party to enforce any of the terms and conditions of this release, it is agreed that the unsuccessful party to such action shall pay to the prevailing party therein all reasonable court costs, attorney's fees, and expenses incurred by the prevailing party.
I/We, the parent(s)/guardian(s)/conservator(s) of the minor(s) being registered do hereby authorize the parish(es) and /or diocese leading the Event/Program described for this registration, its ministry leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. It is understood that this authorization is given in advance of any specific treatment or diagnosis, but is given to provide authority and power of treatment, or hospital care which the aforementioned physician in the exercise of best judgment may deem advisable. This authorization is given pursuant to the provisions of Chapter 32 of the Texas Family Code. This authorization shall remain effective throughout the specific event dates listed above. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I hereby release, defend and hold harmless the Parish and Roman Catholic Diocese of Dallas (Diocese), their officers, directors, agents, employees, volunteers, youth ministry leaders, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
On occasion, video recordings, audio recordings, photographic slides, and photographs are taken of children and youth during church and diocesan sponsored activities. These are utilized in newsletters, websites, event promotion, advertisements and other printed media. For good and valuable consideration, I hereby grant to the parish(es) &/or diocese leading the registering Event the irrevocable and unrestricted right to make, use and/or publish any and all photographs, videos, and other images of me/my minor child(ren) listed on this registration form, or images in which me/my minor child may be included, now existing or hereafter made, in any case, with or without identifying subject for editorial, advertising, news, or any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. I hereby release and agree to fully and unconditionally protect, indemnify, and defend any parish(es) described on this registration form, the Roman Catholic Diocese of Dallas, and their respective officers, agents, and employees, (collectively, “Indemnitees”) and hold each Indemnitee harmless from and against any and all costs, expenses, attorney’s fees, claims damages, demands, suits, judgments, losses, or liability for injuries to property, injuries to persons (including Childs) and from any other costs, expenses, attorney fees, claims, suits judgments, losses, or liabilities of any and every nature whatsoever arising in any manner, directly or indirectly, out of, in connection with, in the course of, or incidental to the use or publication of any photographs, videos, or other images of my child, REGARDLESS OF CAUSE OR OF THE JOINT, COMPARATIVE, OR CONCURRENT NEGLIGENCE OF THE INDEMNITEES.
1. Every child/youth and adult will treat each other with respect, and conduct themselves in a manner that positively represents our Parish/Diocesan Community and the Catholic Church. Respect includes verbal exchanges, physical and psychological exchanges as well. Inappropriate displays of affection as well as any abuse of another person will not be tolerated.
2. Participants must attend all event activities. If provided, name badges must be worn at all times during the event.
3. Any drug, alcohol, tobacco, or illegal substance abuse will not be tolerated and will result in removal from the event, a possible ineligibility to participate in other ministry events, or may even include legal ramifications. Adults and youth will abide by all laws (vandalizing property damage, weapons, stealing, etc.) and will be held responsible for breaking these laws and for any damages. No weapon of any kind may be possessed by participants.
4. Adult leaders and chaperones have been given the authority to maintain safety and adherence to this Code of Conduct. Please give them your respect and cooperation.
5. Parents have the duty to review this code of conduct with their child. Parents agree that their child shall abide by regulations outlined in this Code and at the event. If their child fails to abide by the Code that child may be immediately dismissed from the event and sent home immediately at the parent’s expense, with no right of reimbursement for any amount in connection therewith.
CIVIL AUTHORITY ACKNOWLEDGEMENT
I confirm I am a legal parent/guardian/conservator and have the civil authority to arrange sacramental preparation and spiritual formation for the minor(s) named on this form.
This electronic signature cannot be completed by minor under the age of 18 but must be completed by parent, legal guardian or conservator of a minor, individuals over the age of 18, or by a ministry leader inputting data from a paper consent form already completed by a parent or guardian and kept on file. If you are under the age of 18, you MAY NOT complete this section. Ask your parent or guardian to complete it for you.
