CONSENT/LIABILITY & WAIVER, I grant permission for my child to participate in the Mini Youth Conference held in Premont, TX., at St. Theresa’s Catholic Church on August 30th from 10am – 5pm. I agree on behalf of myself, my child’s other parent if known or living my child named herein, or our heirs, successors, and assigns, to release and hold harmless and defend the Diocese of Corpus Christi, the sponsoring parish (its pastor, youth minister, principal, other agents, etc.) or any representatives associated with the scheduled activity from all damages, claims, suits, expenses and payments for injury to my child and/or property, including all damages, claims suits, expenses and payments resulting from the negligence of the Diocese of Corpus Christi, and parish, and/or their officers, directors, and employees. As parent/guardian, I understand that promotional pictures/promotional videos will be taken during this even. I give permission for my son’s/daughter’s pictures/promotional videos to be used for promotional materials in highlighting the event. Please type your name as a signature below:
Emergency Medical Release:
MEDICAL CONSENT I hereby warrant to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency and you are unable to reach me. I hereby Do grant permission for medication of any type, whether prescription or non-prescription to be administered by my child unless the situation is life threatening and emergency treatment is required. I hereby Do grant permission for non-prescription medication (such as Tylenol, throat lozenges, cough syrup) to be given to my child, if deemed advisable. I understand that Aspirin will not be given to my son/daughter.