Parental Consent for Youth to Participate in Activity,
Emergency Medical Information, and Release
Diocese: The Catholic Diocese of Austin, a Texas non-profit corporation, including its employees, contractors, clergy, agents, facilitators, and volunteers.
A. The undersigned represent that they are the parents or legal guardians of the Participant and have full authority under law to sign this document.
B. Parents grant their permission for Participants to enroll and participate in the Event.
C. Parents acknowledge and agree that:
(1) Participant and Parents voluntarily seek to participate in the Event;
(2) the Event may involve physical activity that involves risk of injury;
(3) Participant and Parents will abide by all policies and rules established for the Event and instructions of those persons facilitating, organizing, or overseeing the Event;
(4) Parents and Participant are responsible for Participant’s conduct during the Event and are responsible for any damages, claims, or other costs caused by Participant or incurred as a result of Participant’s conduct; and
(5) if Participant’s conduct is inappropriate, unsafe, or detrimental to the Event, other participants or other persons, Parish/School or the Diocese may be suspended or expel Participant from the Event and future events.
D. Unless this paragraph is struck and initialed by the undersigned, Parents authorize Parish/School and the Diocese to provide over-the-counter aspirin, pain relievers, cold medicine, and other over-the-counter medications to Participant at Participant’s request if the Parish/School or Diocese deem it reasonable to do so. The Parish/School will make reasonable attempts to notify Parents prior to authorizing any such over-the-counter medication.
E. In the event of an emergency or a situation that is reasonably considered to be an emergency, Parents authorize the Parish/School and the Diocese to seek and authorize emergency medical care to be given to Participant (for example, first aid, medication, anesthesia, or surgery). The Parish/School will make reasonable attempts to notify Parents prior to authorizing any such emergency care.
F. Parents grant Parish/School and the Diocese permission:
(1) to photograph and videotape Participant during the Event; and
(2) to use the photographs and videotapes in publications and promotions of the Parish/School and the Diocese, including but not limited to publications such as websites, newsletters, advertisements, scrapbooks, and yearbooks.
G. To the extent permitted by law, Parents, for themselves and for Participant, release and agree to indemnify and hold harmless the Parish/School, the Diocese, and the Transportation Provider from any and all liability, claims, demands, and costs which may arise as a result of Participant’s participation in the Event or which is, in any way, related to such participation. This paragraph covers loss under any theory of loss (negligence or otherwise) including but not limited to personal injury or property damage. Parents and Participant assume all risk of injury or loss to themselves or their property.
ACKNOWLEDGEMENT RELATED TO
COVID-19 PROTOCOLS FOR MINISTRY OUTSIDE OF MASS AND OTHER LITURGIES
Santa Cruz Catholic Church (the Parish), has established protocols intended to reduce the potential for exposure to the novel coronavirus (COVID-19) on campus during in-person ministry. These protocols are attached to this form and may be updated from time to time. They are intended for ministry outside of the celebration of Mass and other liturgies, which have their own protocols previously sent to parishes and remaining in effect.
Even with these protocols in place, the Parish cannot guarantee that parishioners, employees, or visitors will avoid the contraction of COVID-19. Participation in a Parish activity, program, or event (“Activities”) may increase the risk of contraction of COVID-19 and related illnesses. The Parish asks you to acknowledge the following to help ensure that these protocols are followed and that all will work to mitigate the risks.
A. I acknowledge the contagious nature of COVID-19 and that children, youth, adults, employees, and visitors may be exposed to or contract COVID-19 by attending, volunteering, visiting, or working at the Parish, or by attending or participating in Parish Activities. I am aware that exposure or contraction of COVID-19 may result in serious illness or personal injury. I recognize the risks related to COVID-19 and that my own actions or omissions may contribute to the risks or assist in mitigating the risks of COVID-19.
B. I will abide by and follow the Parish’s protocols related to COVID-19 for myself and for any person for whom I am responsible.
C. I understand that the Parish intends to enforce its COVID-19 protocols and may amend its protocols from time to time as it finds necessary and appropriate.
D. I am informed that circumstances may require the Parish to cancel or modify Parish Activities in order to mitigate the risks of COVID-19.
E. To the extent permitted by law, I release and agree to hold harmless and indemnify the Parish and the Catholic Diocese of Austin, as well as their employees and representatives, from any claim or injury stemming from or related to my or my children’s attendance, visitation, volunteering, or working at the Parish or any Parish Activity related exposure to COVID-19.