NATURE AND DURATION OF ACTIVITIES: Missions in Hamilton, Ontario. Activities include street evangelization, serving the homeless on the street, times of prayer and formation, Mass and adoration. Missions take place at St Mary's Parish and downtown Hamilton, from 9:00am to 9:00pm, on the following dates of 2023: 

January 28, February 18, March 11, April 29, May 13, May 20, June 10, August 13, September 9, September 23, October 14, October 28, November 11, November 25, December 9, December 16.

ACTIVITY SUPERVISOR: Fr Adam Zettel, LC

TRANSPORTATION: Participants are responsible for arriving at the correct locations at the start and end of the mission. Transportation is not provided throughout the mission, but carpooling is allowed and encouraged.

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 retreat activities. Mentoring involves a private 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).

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. Parents/guardians should specify allergies and medical problems in section 9 below.

CONSENT: I/We hereby consent to the above-named child’s participation in the activities described above, 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 his participation in the activities described on this form, and all provisions contained herein.

AUTHORIZATION: I/We hereby authorize Legion of Christ Canada, Inc. to use the image and likeness of my/our child in photograph or video form whether taken by or commissioned by Legion of Christ Canada, 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 Legion of Christ Canada, Inc. or its successor in operation or affiliated organization(s) upon written consent of Legion of Christ Canada, Inc. I/We understand that this authorization shall survive the end of my/our child’s participation in the activities referenced on this form.

INSURANCE: I/We understand that Legion of Christ Canada, 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.

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). For purposes of such procedures and treatments, my/our child’s blood type allergies or other medical problems (if any) are listed below:

EMERGENCY CONTACTS: If, in the event of a medical or other emergency, I/We am/are unable to be reached by telephone at the numbers listed below, I/We authorize the activity supervisor(s) to attempt to contact me/us through the alternative emergency contacts listed below.

RELEASE AND INDEMNIFICATION: I/We release and waive, and further agree to indemnify, hold harmless or reimburse Legion of Christ Canada, 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 Legion of Christ Canada, 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.

COVID-19 ASSUMPTION OF RISK AND WAIVER OF LIABILITY: 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 accept and assume the risk that I may be exposed to or infected by COVID-19 by visiting/participating/attending the Mission operated by Legion of Christ Canada 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. Legion of Christ Canada, Inc. cannot prevent you [yourself and/or your child(ren)] from becoming exposed to, contracting, or spreading COVID-19 while visiting/participating/attending the Mission. It is not possible to prevent against the presence of the disease. Therefore, if you [yourself and/or your child(ren)] choose to visit/participate/attend the Mission you [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 Legion of Christ Canada, 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 legion of Christ Canada, Inc. allowing me onto its premises/visiting/participating/attending the Mission, I also, on behalf of myself [my child(ren)] and my successors and representatives, waive, release, and forever discharge Legion of Christ Canada, 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 Legion of Christ Canada, 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 Legion of Christ Canada, 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 Legion of Christ Canada, 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 the Mission provided by Legion of Christ Canada, Inc.