Stations of the Cross Event Permission and Liability Waiver for Youth

Stations of the Cross Event Permission and Liability Waiver for Youth
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian's Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
I, {parentguardiansName}, grant permission for my child {youthsName} to participate in the Stations of the Cross Event taking place at The Spirit Center (5288 FM 3088, Robstown TX) on March 27, 2026.

As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor ("participant"). I would like my CHILD to participate in the above-named ACTIVITY.

In exchange, and for said consideration, as parent or legal guardian, I agree to defend and fully indemnify The Spirit Center (Fannie Bluntzer Nason Renewal Center, Inc.) against any claim which results from the intentional or negligent actions taken of my CHILD during the above-named ACTIVITY. I further agree to fully indemnify and hold harmless The Spirit Center against any claim or cause of action whatsoever brought by my CHILD or his/her parent/legal guardian against The Spirit Center which arose out of the above identified ACTIVITY, regardless of whether such claims results from the negligence of The Spirit Center, its employees or volunteers, volunteers/youth leaders from Most Precious Blood Catholic Church, the Diocese of Corpus Christi, or the negligence of individuals or companies not a party to this agreement.

Further, for said consideration, I hereby release and discharge The Spirit Center, its employee(s), agents and representatives (parties being released) of and from all claims, demands, causes of action, and expenses arising out of or in any way connected with the employee of The Spirit Center.

I certify that I understand this agreement and the risks and hazards associated with the ACTIVITY described above that my CHILD will be participating in. I further understand that I had the opportunity to fully discuss this agreement with a representative of The Spirit Center to clarify any concerns or questions about the activity or this agreement that I may have had.

PHOTO/VIDEO CONSENT:
As a parent/guardian, I understand that photos/videos of my child may be taken during this activity. I give permission for the taking of my child's photo or video and for use of the resulting images and video for promotional purposes of The Spirit Center. This may include the right to use them in print, online, in social media, and in press releases.
Parent/Guardian Signature

Powered by Jotform SignClear
Today's Date

MonthDayYear
Date
Should be Empty: