Clone of MS/HS Faith Formation 2025-26

Photo/Video Consent and Release. I hereby authorize Sponsor and the Archdiocese to take photographs, recordings, and/or videos (whether electronic, digital, or otherwise) of Participant in connection with the Activity, and I hereby consent to the use, reproduction, and publication of such images by Sponsor and the Archdiocese in connection with the promotion and publicity of the activities of Sponsor and the Archdiocese, including, without limitation, publication of such images on Sponsor’s website. I, individually and in my capacity as parent/legal guardian of Participant, hereby waive any right to inspect or approve the actual use by Sponsor or the Archdiocese of any such image of Participant. Such images of Participant shall be the sole property of Sponsor, and I, individually and in my capacity as parent/legal guardian of Participant, acknowledge and agree that neither I nor Participant shall be entitled to any compensation whatsoever should any such images of Participant be used by Sponsor or the Archdiocese.
Initials
DUTY TO REPORT. Our Lady of Guadalupe Catholic Church Youth Ministries and its representatives are committed to the confidentiality and privileged communication between all students and families. There are, however, several exceptions. Under the Texas Child Abuse and Neglect Report Statutes, “A person having cause to believe that a child's physical or mental health or welfare has been adversely affected by abuse or neglect by any person shall immediately make a report” under the guidelines set forth by the Abuse and Neglect Report Statutes. In addition, if any individual intends to take harmful, dangerous, or criminal action against another individual, or against himself/herself, we will report such intent or action to the appropriate authorities. By initialing below, I acknowledge the receipt of this notice.
Initials
Are you a registered parishioner of Our Lady of Guadalupe Parish?
Are you an OLG Employee?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
By signing this form, I attest that I am the parent or legal guardian and hereby confirm that all information on this form is accurate and correct information
Date

MonthDayYear
Date
Parent/Legal Guardian's Name

First NameLast Name
Parent/Legal Guardian's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Legal Guardian's Email
example@example.com
Secondary Cell Phone Number
To receive information about the program.Format: (000) 000-0000.
Secondary Email
example@example.com
In the event of an emergency, please contact the following person if I can not be reached:
First and last name
Relationship to the Participant
i.e. Parent, Guardian, uncle, grandparent
Emergency Phone Number
Format: (000) 000-0000.
Would you like to be a committed adult volunteer with us on a weekly basis?
Do you have an approved scholarship? Please contact Jason Keck if you need to request one.
Approved amount:
Teen 1
Teen 2
Teen 3
Total Number of participants
Registration Cost:
Transaction ID
4211YOMRegistration@olghelotes.org
Employee discount applied to registration.
Should be Empty:

1 child	$104
2 children	$184
3 children	$234

Participant Information

Second Participant Information

Third Participant Information