Youth Group Consent Form/Liability Waiver 2021-22
This form is for the parent/guardian of any youth group participant. Please complete this form before attending any youth events. Thank you!
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Email *
Participant's Name *
Age
Grade *
Gender
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Participant's Email
Participant's Cell Phone Number
Parent/Guardian Name *
Parent/Guardian Address *
Parent/Guardian Home Phone Number *
Parent/Guardian Cell Phone Number *
I give permission for my son/daughter to attend and participate in the Youth Group with St. Patrick Cathedral. This activity will take place under the guidance and direction of employees and/or volunteers from the St. Patrick Cathedral.  Youth are expected to be signed in and out of each event –if leaving early, one MUST have parent/guardian permission. While youth are responsible for their own behavior, as parent and/or legal guardian, I remain legally liable for any actions or damages made by the above named minor. I am aware that I will be called if my child has to be sent home. I agree on behalf of myself, my child named herein, our heirs, successors, and assigns to hold harmless and defend the Roman Catholic Diocese of Norwich, St. Patrick Cathedral, and St. Patrick School and their officers, directors, agents, employees, representatives associated with this event  from any and all liability claims, loss or damage arising from or in connection with my child attending this event or in connection with any illness or injury or cost of medical treatment in connection therewith. I agree to compensate the above entities for reasonable attorney fees and expenses arising in connection therewith. 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. In the event of an emergency and I cannot be reached, I hereby give permission to transport my child to a hospital or medical facility and to seek medical attention. Presence in unauthorized areas will serve as grounds for suspension or termination of access/privileges. By use hereof, the bearer voluntarily assumes all risks and dangers incidental to the events and activities for which this credential is issued, whether occurring prior to, during or after same, and agrees that the St. Patrick and Diocese of Norwich and its agents, staff and volunteers are not responsible or liable for injuries or damage suffered by the bearer resulting from or arising out of such activities; and consents to a reasonable search of carry-in items and/or his or her person for security reasons, if deemed necessary by St. Patrick staff or law enforcement agencies. Failure to comply with the above conditions may result in termination of admission and/or confiscation hereof.   I grant the St. Patrick my consent without reservation to use, assign, convey, reproduce, copyright, publish my child's name, voice, image, and/or likeness that arises from his/her participation in the Event, whether in still or motion pictures, audio or video tape, for promotional, instructional, business or any other lawful purposes, at the sole discretion of St. Patrick Cathedral. *
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