I, the parent/guardian of the above-named minor child, in consideration for my child being permitted to attend Steubenville with the 3SaintsYouth program from July 23-25 at Mayo Civic Center in Rochester, MN.

I hereby give my permission for said child to attend said event and agree to indemnify and hold harmless, to the furthest extent permitted by law, the Archdiocese of St. Paul and Minneapolis, Ss. Peter & Paul Catholic Church, the City of Loretto, MN, St. Thomas the Apostle Catholic Church, the City of Corcoran, MN, and any and all of its/their employees, supervisors, and/or volunteers from any harm, claim for damages, cause of action, lawsuit or other legal proceeding resulting from the injury or death of my child, (and/or for myself if I attend said the event also).

Further, in the event of injury to the child, and I cannot be reached, I hereby grant authorized medical professionals the right to administer necessary emergency treatment to my child.

Should photos or video be taken, I give my permission for the use of the image and/or likeness of my child in any promotional or other marketing activities relating to the event/activity or our parish Youth Ministry without compensation to me or my child.

If you do not want your child’s image and/or likeness to be used to promote parish youth ministry events, contact the parish office to receive a version of this form that does not include the previous clause; however, some events/ activities may require this clause.