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  • Order of Catholic Initiation for Children (OCIC) Registration

  • IN THE OCIC PROCESS, IF YOUR CHILD IS AGE 7 OR OLDER, HE/SHE WILL RECEIVE ALL SACRAMENTS OF INITIATION

  • Children live with (check all that apply):
  • Is father a baptized Catholic?
  • Is mother a baptized Catholic?
  • Are parent(s) in OCIA?
  • PARENT/GUARDIAN INFORMATION:

  • Check if you wish to receive emails:
  • EMERGENCY CONTACT INFORMATION:

    (IF PARENT CANNOT BE REACHED)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • I will be completing a form for:
  • 1. Child's Name:

  • Date of Birth:
     / /
  • SACRAMENTS RECEIVED:
  • MEDICAL INFORMATION:

    IF YES, PLEASE EXPLAIN
  • Does child take any medications or have any medical conditions?
  • Does child have any allergies to food? (e.g. strawberries, peanuts, etc.?)
  • Does child have any allergies or adverse reactions to medications?
  • Does child have any disabilities or physical or developmental limitations?
  • 2. Child's Name:

  • Date of Birth:
     / /
  • SACRAMENTS RECEIVED:
  • MEDICAL INFORMATION:

    IF YES, PLEASE EXPLAIN
  • Does child take any medications or have any medical conditions?
  • Does child have any allergies to food? (e.g. strawberries, peanuts, etc.?)
  • Does child have any allergies or adverse reactions to medications?
  • Does child have any disabilities or physical or developmental limitations?
  • 3. Child's Name:

  • Date of Birth:
     / /
  • SACRAMENTS RECEIVED:
  • MEDICAL INFORMATION:

    IF YES, PLEASE EXPLAIN
  • Does child take any medications or have any medical conditions?
  • Does child have any allergies to food? (e.g. strawberries, peanuts, etc.?)
  • Does child have any allergies or adverse reactions to medications?
  • Does child have any disabilities or physical or developmental limitations?
  • 4. Child's Name:

  • Date of Birth:
     / /
  • SACRAMENTS RECEIVED:
  • MEDICAL INFORMATION:

    IF YES, PLEASE EXPLAIN
  • Does child take any medications or have any medical conditions?
  • Does child have any allergies to food? (e.g. strawberries, peanuts, etc.?)
  • Does child have any allergies or adverse reactions to medications?
  • Does child have any disabilities or physical or developmental limitations?
  • 5. Child's Name:

  • Date of Birth:
     / /
  • SACRAMENTS RECEIVED:
  • MEDICAL INFORMATION:

    IF YES, PLEASE EXPLAIN
  • Does child take any medications or have any medical conditions?
  • Does child have any allergies to food? (e.g. strawberries, peanuts, etc.?)
  • Does child have any allergies or adverse reactions to medications?
  • Does child have any disabilities or physical or developmental limitations?
  • Please fill out permission form/release for each child

  • ANNUAL PERMISSION FORM & GENERAL RELEASE FOR MINORS: RELIGIOUS FORMATION & ACTIVITIES

  • Date of Birth:
     / /
  • Welcome!  The Roman Catholic Archdiocese of Oklahoma City (“Archdiocese”) strives to provide religious formation to all the minors entrusted into its care, including your son or daughter (“Participant”), as part of its religious mission to assist parents in fulfilling their sacred vocation to form each child as a disciple of Jesus Christ (cf. Catechism of the Catholic Church, n. 2201-203; 2221-231). As you, the custodial parent and/or legal guardian (“Parent”), desire for the Participant to receive such formation from the Archdiocese and engage in religious formation, events, or similar activities (“Activities”) at St. John Nepomuk (“Parish”), a part of the Archdiocese, this “Annual Permission Form & General Release: Religious Formation & Youth Activities (“Permission Form”) has been provided to assist the Archdiocese in serving the Participant and the Parent. This Permission Form is effective as of the date indicated below (“Effective Date”) with a term of twelve consecutive months or until a new permission form or equivalent is executed (“Term”).

    1.  Permission: The Parent, as the custodial parent and/or legal guardian of the Participant, grants permission for the Participant to partake in the Activities to be held at the Parish for the Term. Parent understands these Activities are held on a routine basis to be determined by the Parish. The Parish may provide more information on the specific details of the Activities available.

    2.  Emergency Medical Care: The Parent hereby certifies that, to the best of his or her knowledge, the Participant is physically able to participate in the Activities. If the situation arises that the Participant is in need of immediate emergency care, in the sole discretion of the Parish, the Parent consents to the Participant receiving emergency medical treatment. The Parent accepts full responsibility for any and all costs associated with the medical care of the Participant. If the Parent is aware of any medical conditions, e.g., food or other allergies, adverse reactions, disabilities, or other condition of the Participant that the Parent believes should be disclosed to the Parish in order to care for the Participant while entrusted into parochial care, the Parent may list and explain below.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 3.  Media Release: The Parent understands that the Activities may be photographed, videotaped, or recorded and hereby grants permission to the Archdiocese to use the image and likeness of the Participant, in the sole discretion of the Archdiocese, in any and all archdiocesan media. Parties agree that compensation for the image and likeness of the Participant is limited to the adequate and valuable consideration described herein. Certain events, e.g., the Holy Mass and other large-scale events, should be considered public events.

    4.  Waiver and Release: Parent hereby releases, forever discharges, and agrees to hold harmless the Archdiocese, including its successors, assigns, affiliates, directors, officers, employees, and agents, from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from any matter related to the Participant engaging in or otherwise participating in the Activities, except to the extent arising out of the gross negligence or intentional misconduct of the Archdiocese. Parent acknowledges and understands that Parent is releasing the Archdiocese from any and all liability for injury, illness, death, or property damage resulting from any matter related to the Participant engaging in the activities to the fullest extent permitted by Oklahoma law.

    5.  Assumption of Risk: Parents hereby acknowledge the risks, including all risks associated with personal property and potentially high-risk activities, e.g., sports, of having the Participant involved in any way the Activities and hereby expressly assumes all risk of lost, stolen, or damaged property and injury, illness, and harm associated with the Participant engaging in the Activities.

    6.  Minors: Parent hereby agrees and understands that all provisions of this Permission Form, including but not limited to, Section 4 and Section 5 of this Permission Form, are also made on behalf of the Participant, a minor, entrusted to their care, to the fullest extent permitted by Oklahoma law. Parent agrees to help assist, explain, and stress the importance of any rules, guidelines, or behavioral standards of the Parish to the Participant, as age-appropriate. In addition to any parochial policy, the Archdiocese does not permit the Participant to (a) possess, obtain, use, or abuse alcohol, tobacco, or any other illegal substances; or (b) possess, obtain, or use a weapon of any kind, including pocketknives. Parent understands that violation of either parochial or archdiocesan standards may result in discipline including and up to being prohibited from attending or otherwise engaging in Activities.

    7.  General Provisions: This Permission Form contains the entire agreement and understanding between the Archdiocese and the Parent and supersedes all prior and contemporaneous agreements and understandings. The provisions of this Permission Form are independent of and severable from each other, and no provision will be affected or rendered invalid or unenforceable by virtue of the fact that for any reason any other or others of them may be invalid or unenforceable in whole or in part. This Permission Form is governed by the laws of the State of Oklahoma. Parent agrees, in the event of a dispute regarding this Permission Form, venue is proper in a Court of competent jurisdiction in Canadian County, Oklahoma, and Parent waives any objection to such venue. The paragraph or section headings herein are for convenience only and do not define, limit, or construe any contents of such paragraphs or sections. The Archdiocese is an Oklahoma not-for-profit corporation sole.

    I, the undersigned Parent, certify that I have read this Permission Form in its entirety, that this is a legally binding waiver and release of liability, and that I am at least eighteen (18) years of age. I sign this Permission Form voluntarily and of my own free will on my behalf and on behalf of the Participants under my care. I understand that this Permission Form is mandatory for the participation of the Participant under my care in the Activities at the Parish.

  • Date Signed:
     - -
  • Format: (000) 000-0000.
  • Document Retention Policy: Archdiocesan Entities are required to store and otherwise retain this document for a period of ten (10) years from the year the minor listed herein reaches the age of eighteen (18) years old. A digital copy of this document is sufficient for the purposes of this retention policy. This document, hard copy or digital, may be provided to the Chancery for storage at the discretion of the Archdiocesan Entity.

  • ANNUAL PERMISSION FORM & GENERAL RELEASE FOR MINORS: RELIGIOUS FORMATION & ACTIVITIES

  • Date of Birth:
     / /
  • Welcome!  The Roman Catholic Archdiocese of Oklahoma City (“Archdiocese”) strives to provide religious formation to all the minors entrusted into its care, including your son or daughter (“Participant”), as part of its religious mission to assist parents in fulfilling their sacred vocation to form each child as a disciple of Jesus Christ (cf. Catechism of the Catholic Church, n. 2201-203; 2221-231). As you, the custodial parent and/or legal guardian (“Parent”), desire for the Participant to receive such formation from the Archdiocese and engage in religious formation, events, or similar activities (“Activities”) at St. John Nepomuk (“Parish”), a part of the Archdiocese, this “Annual Permission Form & General Release: Religious Formation & Youth Activities (“Permission Form”) has been provided to assist the Archdiocese in serving the Participant and the Parent. This Permission Form is effective as of the date indicated below (“Effective Date”) with a term of twelve consecutive months or until a new permission form or equivalent is executed (“Term”).

    1.  Permission: The Parent, as the custodial parent and/or legal guardian of the Participant, grants permission for the Participant to partake in the Activities to be held at the Parish for the Term. Parent understands these Activities are held on a routine basis to be determined by the Parish. The Parish may provide more information on the specific details of the Activities available.

    2.  Emergency Medical Care: The Parent hereby certifies that, to the best of his or her knowledge, the Participant is physically able to participate in the Activities. If the situation arises that the Participant is in need of immediate emergency care, in the sole discretion of the Parish, the Parent consents to the Participant receiving emergency medical treatment. The Parent accepts full responsibility for any and all costs associated with the medical care of the Participant. If the Parent is aware of any medical conditions, e.g., food or other allergies, adverse reactions, disabilities, or other condition of the Participant that the Parent believes should be disclosed to the Parish in order to care for the Participant while entrusted into parochial care, the Parent may list and explain below.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 3.  Media Release: The Parent understands that the Activities may be photographed, videotaped, or recorded and hereby grants permission to the Archdiocese to use the image and likeness of the Participant, in the sole discretion of the Archdiocese, in any and all archdiocesan media. Parties agree that compensation for the image and likeness of the Participant is limited to the adequate and valuable consideration described herein. Certain events, e.g., the Holy Mass and other large-scale events, should be considered public events.

    4.  Waiver and Release: Parent hereby releases, forever discharges, and agrees to hold harmless the Archdiocese, including its successors, assigns, affiliates, directors, officers, employees, and agents, from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from any matter related to the Participant engaging in or otherwise participating in the Activities, except to the extent arising out of the gross negligence or intentional misconduct of the Archdiocese. Parent acknowledges and understands that Parent is releasing the Archdiocese from any and all liability for injury, illness, death, or property damage resulting from any matter related to the Participant engaging in the activities to the fullest extent permitted by Oklahoma law.

    5.  Assumption of Risk: Parents hereby acknowledge the risks, including all risks associated with personal property and potentially high-risk activities, e.g., sports, of having the Participant involved in any way the Activities and hereby expressly assumes all risk of lost, stolen, or damaged property and injury, illness, and harm associated with the Participant engaging in the Activities.

    6.  Minors: Parent hereby agrees and understands that all provisions of this Permission Form, including but not limited to, Section 4 and Section 5 of this Permission Form, are also made on behalf of the Participant, a minor, entrusted to their care, to the fullest extent permitted by Oklahoma law. Parent agrees to help assist, explain, and stress the importance of any rules, guidelines, or behavioral standards of the Parish to the Participant, as age-appropriate. In addition to any parochial policy, the Archdiocese does not permit the Participant to (a) possess, obtain, use, or abuse alcohol, tobacco, or any other illegal substances; or (b) possess, obtain, or use a weapon of any kind, including pocketknives. Parent understands that violation of either parochial or archdiocesan standards may result in discipline including and up to being prohibited from attending or otherwise engaging in Activities.

    7.  General Provisions: This Permission Form contains the entire agreement and understanding between the Archdiocese and the Parent and supersedes all prior and contemporaneous agreements and understandings. The provisions of this Permission Form are independent of and severable from each other, and no provision will be affected or rendered invalid or unenforceable by virtue of the fact that for any reason any other or others of them may be invalid or unenforceable in whole or in part. This Permission Form is governed by the laws of the State of Oklahoma. Parent agrees, in the event of a dispute regarding this Permission Form, venue is proper in a Court of competent jurisdiction in Canadian County, Oklahoma, and Parent waives any objection to such venue. The paragraph or section headings herein are for convenience only and do not define, limit, or construe any contents of such paragraphs or sections. The Archdiocese is an Oklahoma not-for-profit corporation sole.

    I, the undersigned Parent, certify that I have read this Permission Form in its entirety, that this is a legally binding waiver and release of liability, and that I am at least eighteen (18) years of age. I sign this Permission Form voluntarily and of my own free will on my behalf and on behalf of the Participants under my care. I understand that this Permission Form is mandatory for the participation of the Participant under my care in the Activities at the Parish.

  • Date Signed:
     - -
  • Format: (000) 000-0000.
  • Document Retention Policy: Archdiocesan Entities are required to store and otherwise retain this document for a period of ten (10) years from the year the minor listed herein reaches the age of eighteen (18) years old. A digital copy of this document is sufficient for the purposes of this retention policy. This document, hard copy or digital, may be provided to the Chancery for storage at the discretion of the Archdiocesan Entity.

  • ANNUAL PERMISSION FORM & GENERAL RELEASE FOR MINORS: RELIGIOUS FORMATION & ACTIVITIES

  • Date of Birth:
     / /
  • Welcome!  The Roman Catholic Archdiocese of Oklahoma City (“Archdiocese”) strives to provide religious formation to all the minors entrusted into its care, including your son or daughter (“Participant”), as part of its religious mission to assist parents in fulfilling their sacred vocation to form each child as a disciple of Jesus Christ (cf. Catechism of the Catholic Church, n. 2201-203; 2221-231). As you, the custodial parent and/or legal guardian (“Parent”), desire for the Participant to receive such formation from the Archdiocese and engage in religious formation, events, or similar activities (“Activities”) at St. John Nepomuk (“Parish”), a part of the Archdiocese, this “Annual Permission Form & General Release: Religious Formation & Youth Activities (“Permission Form”) has been provided to assist the Archdiocese in serving the Participant and the Parent. This Permission Form is effective as of the date indicated below (“Effective Date”) with a term of twelve consecutive months or until a new permission form or equivalent is executed (“Term”).

    1.  Permission: The Parent, as the custodial parent and/or legal guardian of the Participant, grants permission for the Participant to partake in the Activities to be held at the Parish for the Term. Parent understands these Activities are held on a routine basis to be determined by the Parish. The Parish may provide more information on the specific details of the Activities available.

    2.  Emergency Medical Care: The Parent hereby certifies that, to the best of his or her knowledge, the Participant is physically able to participate in the Activities. If the situation arises that the Participant is in need of immediate emergency care, in the sole discretion of the Parish, the Parent consents to the Participant receiving emergency medical treatment. The Parent accepts full responsibility for any and all costs associated with the medical care of the Participant. If the Parent is aware of any medical conditions, e.g., food or other allergies, adverse reactions, disabilities, or other condition of the Participant that the Parent believes should be disclosed to the Parish in order to care for the Participant while entrusted into parochial care, the Parent may list and explain below.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 3.  Media Release: The Parent understands that the Activities may be photographed, videotaped, or recorded and hereby grants permission to the Archdiocese to use the image and likeness of the Participant, in the sole discretion of the Archdiocese, in any and all archdiocesan media. Parties agree that compensation for the image and likeness of the Participant is limited to the adequate and valuable consideration described herein. Certain events, e.g., the Holy Mass and other large-scale events, should be considered public events.

    4.  Waiver and Release: Parent hereby releases, forever discharges, and agrees to hold harmless the Archdiocese, including its successors, assigns, affiliates, directors, officers, employees, and agents, from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from any matter related to the Participant engaging in or otherwise participating in the Activities, except to the extent arising out of the gross negligence or intentional misconduct of the Archdiocese. Parent acknowledges and understands that Parent is releasing the Archdiocese from any and all liability for injury, illness, death, or property damage resulting from any matter related to the Participant engaging in the activities to the fullest extent permitted by Oklahoma law.

    5.  Assumption of Risk: Parents hereby acknowledge the risks, including all risks associated with personal property and potentially high-risk activities, e.g., sports, of having the Participant involved in any way the Activities and hereby expressly assumes all risk of lost, stolen, or damaged property and injury, illness, and harm associated with the Participant engaging in the Activities.

    6.  Minors: Parent hereby agrees and understands that all provisions of this Permission Form, including but not limited to, Section 4 and Section 5 of this Permission Form, are also made on behalf of the Participant, a minor, entrusted to their care, to the fullest extent permitted by Oklahoma law. Parent agrees to help assist, explain, and stress the importance of any rules, guidelines, or behavioral standards of the Parish to the Participant, as age-appropriate. In addition to any parochial policy, the Archdiocese does not permit the Participant to (a) possess, obtain, use, or abuse alcohol, tobacco, or any other illegal substances; or (b) possess, obtain, or use a weapon of any kind, including pocketknives. Parent understands that violation of either parochial or archdiocesan standards may result in discipline including and up to being prohibited from attending or otherwise engaging in Activities.

    7.  General Provisions: This Permission Form contains the entire agreement and understanding between the Archdiocese and the Parent and supersedes all prior and contemporaneous agreements and understandings. The provisions of this Permission Form are independent of and severable from each other, and no provision will be affected or rendered invalid or unenforceable by virtue of the fact that for any reason any other or others of them may be invalid or unenforceable in whole or in part. This Permission Form is governed by the laws of the State of Oklahoma. Parent agrees, in the event of a dispute regarding this Permission Form, venue is proper in a Court of competent jurisdiction in Canadian County, Oklahoma, and Parent waives any objection to such venue. The paragraph or section headings herein are for convenience only and do not define, limit, or construe any contents of such paragraphs or sections. The Archdiocese is an Oklahoma not-for-profit corporation sole.

    I, the undersigned Parent, certify that I have read this Permission Form in its entirety, that this is a legally binding waiver and release of liability, and that I am at least eighteen (18) years of age. I sign this Permission Form voluntarily and of my own free will on my behalf and on behalf of the Participants under my care. I understand that this Permission Form is mandatory for the participation of the Participant under my care in the Activities at the Parish.

  • Date Signed:
     - -
  • Format: (000) 000-0000.
  • Document Retention Policy: Archdiocesan Entities are required to store and otherwise retain this document for a period of ten (10) years from the year the minor listed herein reaches the age of eighteen (18) years old. A digital copy of this document is sufficient for the purposes of this retention policy. This document, hard copy or digital, may be provided to the Chancery for storage at the discretion of the Archdiocesan Entity.

  • ANNUAL PERMISSION FORM & GENERAL RELEASE FOR MINORS: RELIGIOUS FORMATION & ACTIVITIES

  • Date of Birth:
     / /
  • Welcome!  The Roman Catholic Archdiocese of Oklahoma City (“Archdiocese”) strives to provide religious formation to all the minors entrusted into its care, including your son or daughter (“Participant”), as part of its religious mission to assist parents in fulfilling their sacred vocation to form each child as a disciple of Jesus Christ (cf. Catechism of the Catholic Church, n. 2201-203; 2221-231). As you, the custodial parent and/or legal guardian (“Parent”), desire for the Participant to receive such formation from the Archdiocese and engage in religious formation, events, or similar activities (“Activities”) at St. John Nepomuk (“Parish”), a part of the Archdiocese, this “Annual Permission Form & General Release: Religious Formation & Youth Activities (“Permission Form”) has been provided to assist the Archdiocese in serving the Participant and the Parent. This Permission Form is effective as of the date indicated below (“Effective Date”) with a term of twelve consecutive months or until a new permission form or equivalent is executed (“Term”).

    1.  Permission: The Parent, as the custodial parent and/or legal guardian of the Participant, grants permission for the Participant to partake in the Activities to be held at the Parish for the Term. Parent understands these Activities are held on a routine basis to be determined by the Parish. The Parish may provide more information on the specific details of the Activities available.

    2.  Emergency Medical Care: The Parent hereby certifies that, to the best of his or her knowledge, the Participant is physically able to participate in the Activities. If the situation arises that the Participant is in need of immediate emergency care, in the sole discretion of the Parish, the Parent consents to the Participant receiving emergency medical treatment. The Parent accepts full responsibility for any and all costs associated with the medical care of the Participant. If the Parent is aware of any medical conditions, e.g., food or other allergies, adverse reactions, disabilities, or other condition of the Participant that the Parent believes should be disclosed to the Parish in order to care for the Participant while entrusted into parochial care, the Parent may list and explain below.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 3.  Media Release: The Parent understands that the Activities may be photographed, videotaped, or recorded and hereby grants permission to the Archdiocese to use the image and likeness of the Participant, in the sole discretion of the Archdiocese, in any and all archdiocesan media. Parties agree that compensation for the image and likeness of the Participant is limited to the adequate and valuable consideration described herein. Certain events, e.g., the Holy Mass and other large-scale events, should be considered public events.

    4.  Waiver and Release: Parent hereby releases, forever discharges, and agrees to hold harmless the Archdiocese, including its successors, assigns, affiliates, directors, officers, employees, and agents, from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from any matter related to the Participant engaging in or otherwise participating in the Activities, except to the extent arising out of the gross negligence or intentional misconduct of the Archdiocese. Parent acknowledges and understands that Parent is releasing the Archdiocese from any and all liability for injury, illness, death, or property damage resulting from any matter related to the Participant engaging in the activities to the fullest extent permitted by Oklahoma law.

    5.  Assumption of Risk: Parents hereby acknowledge the risks, including all risks associated with personal property and potentially high-risk activities, e.g., sports, of having the Participant involved in any way the Activities and hereby expressly assumes all risk of lost, stolen, or damaged property and injury, illness, and harm associated with the Participant engaging in the Activities.

    6.  Minors: Parent hereby agrees and understands that all provisions of this Permission Form, including but not limited to, Section 4 and Section 5 of this Permission Form, are also made on behalf of the Participant, a minor, entrusted to their care, to the fullest extent permitted by Oklahoma law. Parent agrees to help assist, explain, and stress the importance of any rules, guidelines, or behavioral standards of the Parish to the Participant, as age-appropriate. In addition to any parochial policy, the Archdiocese does not permit the Participant to (a) possess, obtain, use, or abuse alcohol, tobacco, or any other illegal substances; or (b) possess, obtain, or use a weapon of any kind, including pocketknives. Parent understands that violation of either parochial or archdiocesan standards may result in discipline including and up to being prohibited from attending or otherwise engaging in Activities.

    7.  General Provisions: This Permission Form contains the entire agreement and understanding between the Archdiocese and the Parent and supersedes all prior and contemporaneous agreements and understandings. The provisions of this Permission Form are independent of and severable from each other, and no provision will be affected or rendered invalid or unenforceable by virtue of the fact that for any reason any other or others of them may be invalid or unenforceable in whole or in part. This Permission Form is governed by the laws of the State of Oklahoma. Parent agrees, in the event of a dispute regarding this Permission Form, venue is proper in a Court of competent jurisdiction in Canadian County, Oklahoma, and Parent waives any objection to such venue. The paragraph or section headings herein are for convenience only and do not define, limit, or construe any contents of such paragraphs or sections. The Archdiocese is an Oklahoma not-for-profit corporation sole.

    I, the undersigned Parent, certify that I have read this Permission Form in its entirety, that this is a legally binding waiver and release of liability, and that I am at least eighteen (18) years of age. I sign this Permission Form voluntarily and of my own free will on my behalf and on behalf of the Participants under my care. I understand that this Permission Form is mandatory for the participation of the Participant under my care in the Activities at the Parish.

  • Date Signed:
     - -
  • Format: (000) 000-0000.
  • Document Retention Policy: Archdiocesan Entities are required to store and otherwise retain this document for a period of ten (10) years from the year the minor listed herein reaches the age of eighteen (18) years old. A digital copy of this document is sufficient for the purposes of this retention policy. This document, hard copy or digital, may be provided to the Chancery for storage at the discretion of the Archdiocesan Entity.

  • ANNUAL PERMISSION FORM & GENERAL RELEASE FOR MINORS: RELIGIOUS FORMATION & ACTIVITIES

  • Date of Birth:
     / /
  • Welcome!  The Roman Catholic Archdiocese of Oklahoma City (“Archdiocese”) strives to provide religious formation to all the minors entrusted into its care, including your son or daughter (“Participant”), as part of its religious mission to assist parents in fulfilling their sacred vocation to form each child as a disciple of Jesus Christ (cf. Catechism of the Catholic Church, n. 2201-203; 2221-231). As you, the custodial parent and/or legal guardian (“Parent”), desire for the Participant to receive such formation from the Archdiocese and engage in religious formation, events, or similar activities (“Activities”) at St. John Nepomuk (“Parish”), a part of the Archdiocese, this “Annual Permission Form & General Release: Religious Formation & Youth Activities (“Permission Form”) has been provided to assist the Archdiocese in serving the Participant and the Parent. This Permission Form is effective as of the date indicated below (“Effective Date”) with a term of twelve consecutive months or until a new permission form or equivalent is executed (“Term”).

    1.  Permission: The Parent, as the custodial parent and/or legal guardian of the Participant, grants permission for the Participant to partake in the Activities to be held at the Parish for the Term. Parent understands these Activities are held on a routine basis to be determined by the Parish. The Parish may provide more information on the specific details of the Activities available.

    2.  Emergency Medical Care: The Parent hereby certifies that, to the best of his or her knowledge, the Participant is physically able to participate in the Activities. If the situation arises that the Participant is in need of immediate emergency care, in the sole discretion of the Parish, the Parent consents to the Participant receiving emergency medical treatment. The Parent accepts full responsibility for any and all costs associated with the medical care of the Participant. If the Parent is aware of any medical conditions, e.g., food or other allergies, adverse reactions, disabilities, or other condition of the Participant that the Parent believes should be disclosed to the Parish in order to care for the Participant while entrusted into parochial care, the Parent may list and explain below.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 3.  Media Release: The Parent understands that the Activities may be photographed, videotaped, or recorded and hereby grants permission to the Archdiocese to use the image and likeness of the Participant, in the sole discretion of the Archdiocese, in any and all archdiocesan media. Parties agree that compensation for the image and likeness of the Participant is limited to the adequate and valuable consideration described herein. Certain events, e.g., the Holy Mass and other large-scale events, should be considered public events.

    4.  Waiver and Release: Parent hereby releases, forever discharges, and agrees to hold harmless the Archdiocese, including its successors, assigns, affiliates, directors, officers, employees, and agents, from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from any matter related to the Participant engaging in or otherwise participating in the Activities, except to the extent arising out of the gross negligence or intentional misconduct of the Archdiocese. Parent acknowledges and understands that Parent is releasing the Archdiocese from any and all liability for injury, illness, death, or property damage resulting from any matter related to the Participant engaging in the activities to the fullest extent permitted by Oklahoma law.

    5.  Assumption of Risk: Parents hereby acknowledge the risks, including all risks associated with personal property and potentially high-risk activities, e.g., sports, of having the Participant involved in any way the Activities and hereby expressly assumes all risk of lost, stolen, or damaged property and injury, illness, and harm associated with the Participant engaging in the Activities.

    6.  Minors: Parent hereby agrees and understands that all provisions of this Permission Form, including but not limited to, Section 4 and Section 5 of this Permission Form, are also made on behalf of the Participant, a minor, entrusted to their care, to the fullest extent permitted by Oklahoma law. Parent agrees to help assist, explain, and stress the importance of any rules, guidelines, or behavioral standards of the Parish to the Participant, as age-appropriate. In addition to any parochial policy, the Archdiocese does not permit the Participant to (a) possess, obtain, use, or abuse alcohol, tobacco, or any other illegal substances; or (b) possess, obtain, or use a weapon of any kind, including pocketknives. Parent understands that violation of either parochial or archdiocesan standards may result in discipline including and up to being prohibited from attending or otherwise engaging in Activities.

    7.  General Provisions: This Permission Form contains the entire agreement and understanding between the Archdiocese and the Parent and supersedes all prior and contemporaneous agreements and understandings. The provisions of this Permission Form are independent of and severable from each other, and no provision will be affected or rendered invalid or unenforceable by virtue of the fact that for any reason any other or others of them may be invalid or unenforceable in whole or in part. This Permission Form is governed by the laws of the State of Oklahoma. Parent agrees, in the event of a dispute regarding this Permission Form, venue is proper in a Court of competent jurisdiction in Canadian County, Oklahoma, and Parent waives any objection to such venue. The paragraph or section headings herein are for convenience only and do not define, limit, or construe any contents of such paragraphs or sections. The Archdiocese is an Oklahoma not-for-profit corporation sole.

    I, the undersigned Parent, certify that I have read this Permission Form in its entirety, that this is a legally binding waiver and release of liability, and that I am at least eighteen (18) years of age. I sign this Permission Form voluntarily and of my own free will on my behalf and on behalf of the Participants under my care. I understand that this Permission Form is mandatory for the participation of the Participant under my care in the Activities at the Parish.

  • Date Signed:
     - -
  • Format: (000) 000-0000.
  • Document Retention Policy: Archdiocesan Entities are required to store and otherwise retain this document for a period of ten (10) years from the year the minor listed herein reaches the age of eighteen (18) years old. A digital copy of this document is sufficient for the purposes of this retention policy. This document, hard copy or digital, may be provided to the Chancery for storage at the discretion of the Archdiocesan Entity.

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