ECYD Boys Teams Waiver Form, 2020-21
"The team is the natural environment where life in ECYD grows and develops. It is a place of true friendship where adolescents meet with their friends and The Friend, and where they seek to grow together and help each other live their faith." (ECYD Statutes, n. 23)

The following is a waiver form for all ECYD Team activities for the school year.

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Your Son's First and Last Name *
Your Son's Date of Birth: *
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Your Son's Grade for this School Year: *
YOUR SON'S CELL #: If your son is in High School, what is his cell phone #? (We use this to send out relevant communication directly to the team members. Minors will be texted with at least 1 other adult copied. If your son doesn't have a cell phone, leave it blank.)
YOUR SON'S EMAIL: If your son is in High School, what is his email? (We can use this means to communicate regarding meetings. Minors will be emailed with at least 1 other adult copied. If your son doesn't have an email, leave it blank.)
Do you give permission to Fr Lucio Boccacci, Judy Newberry, and the RC Missionaries, to contact your son directly at his cell # and/or email regarding upcoming meetings and logistics? (Minors will be contacted with at least 1 other adult copied.)
Please fill out your son's corresponding region and team: *
WAIVER FORM
PERMISSION TO PARTICIPATE IN ACTIVITIES
2020 - 2021
RC ACTIVITIES, INC.

(The ECYD Teams operate under Regnum Christi Activites, Inc.)

1. NATURE AND DURATION OF ACTIVITIES: Youth activities include but are not limited to: ECYD team or small group activities, encounters with Christ, ECYD Nights; virtue talks, Gospel reflections, discussions; confession, fun activities, games and team building activities, formation, pledges, and outings that are fun, formative, or apostolic; snacks; and online video conferencing. Dates included are August 2020 thru May 2021.

2. ACTIVITY SUPERVISOR(S):  Fr Lucio Boccacci, the Cincinnati RC Missionaries 2020-21, Judy Newberry, and safe environment trained lay parents.

3. TRANSPORTATION: Participants are responsible for securing their own transportation to and from activities, as the company does not contract a transportation service. In some cases authorized drivers with RC Activities, Inc. may drive participants in vehicles as a group if necessary for the activities of the mission trip.

4. MENTORING:  Participants may be offered mentoring, which is intended to help young people personalize the principles of Christian living that they receive at home and in club activities.  Mentoring involves a one-on-one conversation with an adult conducted in plain view of others.  When dealing with adolescents, confidentiality will be maintained to foster openness of dialogue, but  situations involving sexual abuse of a minor or threats to life or physical health will be reported to the appropriate authority and to the parents (except in those cases where the parent may be the alleged abuser).

5. REQUIREMENTS: The child named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child.

6. CONSENT:  I/We hereby consent to the above-named child's participation in the activities described above including mentoring, and specifically request that he be allowed to participate in those activities.  I/We warrant that I/We have full authority to legally consent to her participation in the activities described on this form, and all provisions contained herein.

7. AUTHORIZATION: I/We hereby authorize RC Activities, Inc. to use the image and likeness of my/our child in photograph or video form whether taken by or commissioned by RC Activities, Inc. in its promotional materials and for its promotional purposes associated with its nonprofit activities. This authorization shall extend to use of my/our child’s image and likeness on the website of RC Activities, Inc., or its successor in operation or affiliated organization(s) upon written consent of RC Activities, Inc.  I/We understand that this authorization shall survive the end of my/our child’s participation in the activities referenced on this form.

8. INSURANCE:  I/We understand that RC Activities, Inc. does not carry any health insurance relative to the activities or for any injury that may occur to the above-named child.  I/We represent that the child is (a) covered by insurance through my/our own insurance carrier; or (b) that I/We am/are personally financially responsible for any and all medical costs incurred as a result of the child's injury.

9. EMERGENCIES:  If the above-named child requires any emergency medical procedures or treatments during the activities, I/We consent to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s).

10. RELEASE AND INDEMNIFICATION:  I/We release and waive, and further agree to indemnify, hold harmless or reimburse RC Activities, Inc. and Consolidated Catholic Administrative Services, Inc., the individual members, agents, directors, officers, employees, volunteers and representatives thereof, as well as activity supervisors, from and against, any claim which I, any other parent or guardian, any sibling, the above-named child, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses (including attorneys’ fees incurred by RC Activities, Inc. and Consolidated Catholic Administrative Services, Inc., or any of its individual employees, agents, volunteers, etc. in enforcing this indemnity provision) without limitation in time or amount, damages or injuries arising out of, during, or in connection with my/our child's participation in the activities, the travel to and there from, and the rendering of emergency medical procedures or treatment, if any. I/We understand that this release and indemnification shall survive the end of my/our child’s participation in the activities referenced on this form and shall have no limitation in time or amount.

COVID-19 ASSUMPTION OF RISK FORM
I acknowledge [for myself and/or my child(ren)] the highly contagious nature of COVID-19, as well as its potential to cause infection, illness, injury, permanent disability, and death.  I voluntarily ECYD TEAM MEETINGS operated by RC Activities, Inc.  I further accept [for myself and/or my child(ren)] and assume the risk that such exposure or infection may result in my [my child(ren)] personal injury, illness, permanent disability, and/or death. RC Activities, Inc. cannot prevent you [for yourself and/or your child(ren)] from becoming exposed to, contracting, or spreading COVID-19 while visiting/participating/attending ECYD TEAM MEETINGS.  It is not possible to prevent against the presence of the disease. Therefore, if you [for yourself and/or your child(ren)] choose to visit/participate/attend ECYD TEAM MEETINGS you [for yourself and/or your child(ren) may be exposing yourself [your child(ren)] to and/or increasing your risk of contracting or spreading COVID-19.

I understand that the risk of becoming exposed to or infected by COVID-19 may be increased as a result of the actions, omissions, and/or negligence of RC Activities, Inc., including its independent contractors, agents, vendors, guests, and employees.  I voluntarily assume [for myself and or my child(ren)] all of the risks of COVID-19 and of COVID-19 exposure and accept sole responsibility for any harm to me [my child(ren)] (including, but not limited to, personal injury, illness, permanent disability, and death).

In consideration of RC Activities, Inc. allowing me onto its premises/visiting/participating/attending ECYD TEAM MEETINGS, I also, on behalf of myself [my child(ren)] and my successors and representatives, waive, release, and forever discharge RC Activities, Inc. , its agents, employees, officers, directors, contractors, customers, successors, and assigns from any and all claims and causes of action of any kind or nature which are in any way related, directly or indirectly, to COVID-19, which I may have or that hereafter may accrue, including any such claims or causes of action caused in whole or in part by the negligence of RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns.  I [for myself and/or my child(ren)] further agree that I will not bring any claim or cause of action against RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns related in any way, directly or indirectly, to COVID-19, and/or any associated personal injuries, illness, disability, or death.

I [for myself and/or my child(ren)] further agree to indemnify, defend, and hold harmless RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns from any claims or causes of action of any kind arising from my exposure to COVID-19 as a result of visiting/participating/attending ECYD TEAM MEETINGS provided by RC Activities, Inc.
Please sign below. By signing below you certify that as a parent/guardian 1) this is your valid signature, 2) you have read thru and agree to all the terms included in the here referenced RC Activities Inc. Waiver, and 3) that signing below is binding in a court of law. *
Parent/Guardian/Emergency Contact #1: Name *
Parent/Guardian/Emergency Contact Cell Phone *
Parent/Guardian/Emergency Contact Email *
(Optional) Parent/Guardian/Emergency Contact #2: Name
(Optional) Parent/Guardian/Emergency Contact #2: Cell Phone
(Optional) Parent/Guardian/Emergency Contact #2: Email
We want all boys to be able to participate! So there is no required fee for your son's participation in these teams, nor for the formation offered by the Legionaries of Christ as chaplains or RC Missionaries as Team Leaders. However, please consider making a donation to support our expenses: gas, $20/child/year insurance we pay, formation materials, chaplain stipend, and car maintenance. The link for a donation will appear after you click "Submit". *
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