PARTICIPANT AGREEMENT FORM

The Vietnamese Eucharistic Youth Movement in the U.S.A

1811 E Center St, Anaheim, CA 92805 | Web: http://veym.net | Phone: (714) 603-7586 | Email: headquarters@veym.net
PARTICIPANT AGREEMENT FORM
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**Waiver and Registration**

Each member must register and sign the waiver before arriving for the shift. Please share the following link with those who will be attending so they can register and sign the waiver: Cradles to Crayons Waiver Form

Note: This link will stop working two days before your volunteer shift, and the waiver may take up to two days to arrive in your email.

Tentative Schedule:

8:30 AM: Meet at church
9:00 AM: Depart for Cradles to Crayons
10:00 AM – 12:00 PM: Volunteer session
12:00 – 12:30 PM: Travel to lunch
12:30 – 2:00 PM: Lunch provide by LaVang
2:00 – 3:00 PM: Return to church
Đại Hội Nghĩa Hiệp II
Thursday, July 30 - Sunday, August 2
Hilbert College
5200 South Park AvenueHamburg, NY, 14075

“I am the vine, you are the branches. Whoever remains in me and I in him will bear much fruit, because without me you can do nothing.” – John 15:5

This convention is for the Companion and Knight of the Eucharist divisions. Its purpose is to strengthen unity, mutual support, and love through team-based activities. It will also feature workshops led by priests and guest speakers to help participants grow in self-understanding and become future witnesses for the Church.

This will be a road trip from Worcester, MA to Hamburg, NY—something our đoàn hasn’t done in many years, making it a once-in-a-lifetime experience. Please check your schedule and try your best to join us! While the trip involves many expenses, we will fundraise to help reduce costs.

Thanks to the support of Đoàn LaVang, participants are only responsible for a $200 registration fee and personal spending money. LaVang will cover transportation, gas, snacks, meals, and all the fun along the way.

To reserve your spot, please fill out the form and submit

$50 deposit by 4/26

final payment due by 5/10

*** spots are limited, so register early! ***

For any questions, contact Tr. Phuong (508) 353-7367 or Tr. Joseph (774) 225-9116
Au Nhi Spring Picnic

Where: Our Lady of Vilna

153 Sterling St

Worcester, MA 01610

When: Saturday April 18th 2026

Time: 1:00PM – 6:00PM

Deadline to register: Friday April 10, 2026

If you have any questions or suggestions,

please contact Tr. Michelle (508) 612-0142
Annual Halloween Party
We’re excited that you’ll be joining us for our Annual Halloween Party.
We’re happy to welcome non-TNTT members again this year! 🎃

When: October 25, 2025 • 2:00 PM – 9:00 PM
Where: Our Lady of Vilna, 151 Sterling Street, Worcester, MA

Participants under 7 years old must have a parent or guardian on site for the entire duration of the event.

Halloween Party Flyer

Please make sure to select the correct registration form:
TNTT Members: Select “Halloween Party (10/25/2025, 2PM – 9PM)”
Non-TNTT Guests: Select “Halloween Party NON-TNTT (10/25/2025, 2PM – 9PM)” and choose “Other” for the ngành field.

Registration Fees:
TNTT Members: $15 before 10/19, or $20 after 10/19
Non-TNTT Guests: $20 before 10/19, or $25 after 10/19

If you’re registering both a TNTT member and a non-TNTT guest, please submit two separate forms.
Thank you, and we can’t wait to celebrate with you! 👻

Last Day to Registration is 10/23
Đại Hỏi Nghĩa Hiệp is an event for Nghĩa Sĩ and Hiệp Sĩ members from various đoàn within LDPH, planned for Summer 2026. It will be a fun and faith-filled day of learning, teamwork, and friendly competition, where participants deepen their faith, strengthen their TNTT knowledge, and live out the spirit of sacrifice, discipline, and service.
- FAMILY LAST NAME
- POTLUCK DISH
- Enter participant info, click + Add Participant for additional participants
- Address
  
  ADDRESS
  
  Street Address Line 2
  
  CITYSTATE
  
  ZIP CODE
- PHONE #
  Format: (000) 000-0000.
- PHONE TYPE
- EMAIL
- CHECK IF PARTICIPANT IS A MINOR
- PARTICIPANT’S CELLPHONE NUMBER
  Applies only to TNTT members. Cellphone number to be used for event communication.Format: (000) 000-0000.
- PARISH
- DIOCESE
- DOCTOR
- DOCTOR PHONE #
  Format: (000) 000-0000.
- INSURANCE CO.
- INSURANCE ID #
- INSURANCE GROUP #
- CARDHOLDER’S NAME
- PARTICIPANT’S ALLERGIES (including meds and food)
  If not applicable, enter “None.” If submitting for multiple participants, be specific and include the names of the participants to whom this applies.
- PARTICIPANT’S ALLERGIES (including meds and food)
  If not applicable, enter “None.” If submitting for multiple participants, be specific and include the names of the participants to whom this applies.
- PARTICIPANT’S CHRONIC MEDICAL CONCERNS (e.g. diabetes, or any mental behavior and health issues, including drug use.
  If not applicable, enter “None.” If submitting for multiple participants, be specific and include the names of the participants to whom this applies.
- PARTICIPANT’S OTHER PHYSICAL RESTRICTIONS
  If not applicable, enter “None.” If submitting for multiple participants, be specific and include the names of the participants to whom this applies.
- FULL NAME
- PHONE #
  Format: (000) 000-0000.
- RELATIONSHIP TO PARTICIPANT (must be a parent or guardian if participant is a minor)
- I,
  Participant or Parent/Guardian Full Name
- , an adult [age of majority, per State (e.g., 18 years old in California)] and I am the named participant, or I am the parent/guardian of the minor who will be participating in the above-mentioned event (“The Event”) organized and/or sponsored by the
  Vietnamese Eucharistic Youth Movement in the U.S.A. (“VEYM”). I am fully aware that my or my child’s participation in The Event is totally voluntary. Meanwhile, I or my child shall comply with all applicable Codes of Conduct, and generally conduct myself/himself/herself/themselves at all times in keeping with the highest moral and ethical standards, and abide by all applicable rules of law, so as to reflect positively on myself/himself/herself/themselves, the Event, and Catholic teachings. If I or my child violate these obligations which result in bodily injury or property damage during the Event, I or my child who violated these obligations will solely pay to restore or replace any property damaged as a result of the violation, pay any damages caused to bodily injury to an individual, and defend, protect and hold VEYM, its executive members, youth leaders, and volunteers, the local diocese, priests or other religious or clergy members, harmless, from such bodily injury or property damage claims.
  I am aware that The Event may involve the following activities but not limited to: running, jumping, sharing personal stories, singing, clapping, shouting, sitting for prolonged periods of time, early wake-up, sleeping in cabins, sleeping in tents, use of low-light restrooms, outdoor activities in dirt, uneven, dusty and rocky
  terrain, sleeping outdoors, activities relating to outdoor environment, aquatic activities, and supervised online group activities utilizing tools that include, but are not limited to Google Meets, Microsoft Teams, and Zoom, pursuant to Children's Online Privacy Protection Act of 1998, (15 U.S.C. 6501, et seq.,). All activities will be monitored by at least 2 adults. In consideration of the agreement, by the youth leaders and/or executive committee of the local chapter, to permit me or my child to participate in The Event, the receipt and sufficiency in which consideration is hereby acknowledged, I agree as follows:
- I,
  Participant or Parent/Guardian Full Name
- hereby:
- 1. Release, acquit and forever discharge VEYM and their employees, volunteers, agents, servants, officers, trustees, representatives, affiliates, and sponsors, in their official and individual capacities, as well as my Parish and my Diocese, their employees and agents, representatives, sponsors, chaperones, or volunteers, from any and all liability whatsoever for any and all damages, injuries(including death) to persons, loss to property, or both, which arise during, out of, or in connection with my participation in The Event, which may be sustained or suffered by me, my child or any person in connection with any activities of The Event, including, but not limited to, those related activities directly or indirectly leading up to and stemming from The Event, even those activities which arise out of my travel to and from The Event;
  please initial for concurrence
- 2. Agree to indemnify (compensate for harm or loss), defend and hold harmless VEYM and their employees, volunteers, agents, servants, officers, trustees, representatives, affiliates, and sponsors, in their official and individual capacities, as well as my Parish and my Diocese, their employees and agents, representatives, sponsors, chaperones, or volunteers, against all claims, including, but not limited to, claims of negligence, unintentional acts, and acts of omission, and from any and all liability, loss or damage they sustain as a result of any claims, demands, actions, causes of action, judgments, costs or expenses they incur, including attorney’s fees, which result from or arise out of my or my child’s participation in The Event, including but not limited to, my travel to and from The Event;
  please initial for concurrence
- 3. There are certain inherent dangers and foreseeable and unforeseeable risks of harm to myself, mychild and others arising from The Event’s various activities, including but not limited to, sustainingbodily or emotional injury, that could result from my participation in The Event. Injuries might arisefrom my actions or inactions, the actions or inactions of another participant in activities, or the actualor alleged failure by any youth leaders, agents or volunteers to adequately coach, train, instruct, orsupervise activities. I have knowingly and voluntarily decided to assume the risks of these inherentdangers in consideration of the permission, by the youth leaders and/or executive committee of thelocal chapter, to allow me or my child to participate in The Event;
  please initial for concurrence
- 4. Whether or not there is an endemic, epidemic, or pandemic, communicable diseases (such as, forexamples, the common flu or the coronavirus) may be carried by any persons on campus. The carriersmay be unknown or not be identified by VEYM, its directors and officers, executive committeemembers, youth leaders, and volunteers. When in-person meetings on campus are permitted by mydiocese under guidelines of governmental and local health agencies, there is an inherent risk that mychild’s or my participation may put me at risk of exposure, and I assume all foreseeable andunforeseeable risks of harm I or my child may be exposed to therefrom;
  please initial for concurrence
- 5. Weather conditions, including Acts of God, or natural causes (which humans do not intervene tocause), may alter or affect plans, expenses, and activities relating to, and including, The Event, and Iunderstand that inherent dangers and risks of harm to myself, my child and others as a result of suchnatural causes may vary, and I assume all foreseeable and unforeseeable risks of harm I or my childmay be exposed to therefrom;
  please initial for concurrence
- 6. My or my child’s personal property may be at my risk of theft, damage, or loss entirely;
  please initial for concurrence
- 7. VEYM reserves the right to decline, to accept, or retain me or my child in The Event at any timeshould my actions or general behavior impede the operation of The Event or the rights or welfare ofany other person. I understand that I or my child may be required to leave The Event in the solediscretion the organizers, agents, and representatives. If I am or my child is required to leave, norefund will be given to me or my child for any unused portion of The Event, and the local chapter willnot reimburse me for any alleged direct or indirect costs or expenses I or my child incurred as a resultof my or my child’s participation in The Event.
  please initial for concurrence
- 8. I understand that VEYM, in its sole discretion, reserves the right to cancel The Event or any aspectthereof prior to commencement. In the event of cancellation of The Event in whole or in part, I accept that I or my child may not be reimbursed or refunded for any unused portion of The Event.
  please initial for concurrence
- *I represent and warrant that I am or my child is covered throughout The Event by a policy of comprehensive health and accident insurance which provides coverage for injuries which I or my child may sustain as part of my or my child’s participation in The Event. Even if I am or my child is not covered by any health insurance during The Event, however, I agree to complete the HEALTH INFORMATION section to the best of my ability and, by its completion, I hereby release and discharge VEYM of all responsibility and liability for any injuries, illnesses, medical bills, charges or similar expenses I may incur while participating in The Event. By completing the form, I hereby authorize VEYM to obtain any necessary medical treatment to myself or my child, consent to any necessary examination, treatment, or care under the supervision and/or advice of any properly licensed medical professional, and I explicitly authorize VEYM to release medical information about me or my child to any person or entity to whomVEYM refers me for medical treatment.
  please initial for concurrence
- *I agree that this agreement is to be construed pursuant to the laws of the State of Massachusetts and is intended to be as broad and inclusive as permitted by law, and if any portion hereof is held invalid, it is agreed that the balance hereof shall continue in full legal force and effect. In addition, I agree that any legal action arising out of or in relation to this agreement must be brought in Worcester County, Massachusetts State court.
  *To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence.
  *I hereby grant VEYM my consent without reservation to use, assign, convey, reproduce, copyright, publish or sell my name, voice, image, and/or likeness that arise from my participation in The Event, whether still or motion pictures, audio or video tape, for promotional, instructional, business or any other lawful purposes, at VEYM’s sole discretion, should any such name, voice, image, and/or likeness be shared with VEYM by the local chapter.
- County
- State
- IN SIGNING THIS AGREEMENT, I HEREBY ACKNOWLEDGE AND REPRESENT THAT I HAVE READ THIS ENTIRE DOCUMENT, THAT I UNDERSTAND ITS TERMS AND PROVISIONS, THAT I UNDERSTAND IT AFFECTS MY LEGAL RIGHTS, THAT IT IS A BINDING AGREEMENT, AND THAT I HAVE SIGNED IT KNOWINGLY AND VOLUNTARILY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
  
  BY SIGNING THIS RELEASE, I ALSO ACKNOWLEDGE THAT I UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY.
- Electronic Signature of Participant or Parent/Guardian
  Participant or Parent/Guardian Full Name
- Print Name
- Dated
  
  MonthDayYear
- If paying by Venmo, please list all participants’ names and the event name so we can identify your payment.
- Total Participants Registered_Calc
- AMOUNT DUE_Calc
- Multiple Partipants
- DisableEvent
- List of Participants
- Partipant Name
- TOTAL PARTICIPANTS REGISTERED
- COST PER PERSON
- DISCOUNT
- AMOUNT DUE
- PAYMENT OPTIONS
- Should be Empty:

The Vietnamese Eucharistic Youth Movement in the U.S.A