St Peter Damian-Totus Tuus Consent Form
As a parent or guardian, I acknowledge and accept with my signature the following:
-I authorize the treatment by qualified and or licensed medical personnel, of the below minors, in the event of a medical emergency in which it is necessary for immediate attention. This authority is granted only after a reasonable attempt has been made to reach the parent. I agree to assume the financial responsibility for any diagnosis/treatment and medication deemed necessary.
-I grant permission to St. Peter Damian, the Archdiocese of Chicago Vocation Office and Totus Tuus Program as well as its representatives to photograph and video my child(ren), and otherwise capture their image, and to make recordings of their voice. I further grant to The Archdiocese of Chicago Vocation Office and Totus Tuus Program and its representatives the right to reproduce, use, exhibit, display, broadcast and distribute these images and recordings in any media now known or later developed for promoting, publicizing, or explaining The Totus Tuus Program and its activities and for administrative, educational or marketing purposes. Photographs, video images and voice recordings are the property of The Archdiocese of Chicago Vocation Office.