I, the Parent /Legal Guardian) of student(s) noted on form, hereby give my permission for his/her participation in the above named activity. I agree to direct my child to cooperate and conform to directions and instructions of parish, school, or diocesan personnel responsible for this activity. As a condition of my child being allowed to do so, I hereby release and discharge the Diocese of Orange, its constituent organizations, including but not limited to The Roman Catholic Bishop of Orange, a Corporation Sole, and their officers, employees and volunteers from any and all claims for personal injuries or property damage that she/he may suffer as a result of his/ her participation in the activity described above, whether or not such injuries or damage are caused by the negligence, active or passive, of any of the entities, individuals named or described above.I agree that in the event my child is injured as a result of his/her participation in the above named activities, including transportation to and from these activities, whether or not caused by the negligence, active or passive, of the parish, school, or diocesan youth activities program, or any of its agents or employees, recourse for the payment of any resulting hospital, medical, dental treatment or related costs and expenses will first be had against any accident, hospital, medical or dental insurance, or any available benefit plan of mine or my spouse. I am not aware of any medical condition of my child which would render it inappropriate for him/ her to participate in any activity.I, hereby authorize the making of photographs, motion pictures, recordings, or other memorializing of said event and my child’s participation therein, and the publication and duplication or other use thereof. I, hereby waive any rights to compensation or any right that I otherwise might have to limit or control such making or use. I, hereby give permission for the emergency medical staff to provide emergency services and/or transportation to a hospital if deemed necessary. I am further aware that my child shall receive SAFE ENVIRONMENT TRAINING according to Diocesan Policy. I understand that I can request for my child to opt out of this training by making such a request known to the Coordinator of Youth Faith Formation at Santa Clara de Asis in writing. I understand that the parent information regarding safe environment is available for my viewing on the parish website and I hereby acknowledge receipt of the same. The online material provides links to other resources for educational purposes. We do not control or endorse any such other sites, or any products or services sold on such other sites, and disclaim any responsibility for the content of such third party sites. Any reference to specific products or services on such other sites does not constitute or imply recommendation or endorsement by Santa Clara de Asis Catholic Church. Users of this site assume full responsibility for their use of the information obtained from this site, and understand and agree that Santa Clara de Asis Catholic Church is not responsible or liable for any claim, loss or damage arising from the use of the information.We are aware of the existence of the risk on our physical appearance to the church and my child’s participation within the activity that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death. If we participate, we ensure that we have not experienced symptoms such as fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days. Following the pronouncements above I hereby declare the following: We are fully and personally responsible for our own safety and actions while and during our participation and we recognize that we may be in any case at risk of contracting COVID-19. With full knowledge of the risks involved, we hereby release, waive, discharge Santa Clara de Asis Catholic Church, from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by our family related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. We agree to indemnify, defend, and hold harmless Santa Clara de Asis Catholic Church from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19.
By signing below, you are agreeing to the above release statement