FORM B

This Form B supplements Participant’s current Form A, both of which must be completed and on file before Participant may participate in the event described below. The permissions, releases, authorizations, and other terms of Form A remain in effect and apply to this event.

 

CONSENT TO PARTICIPATE

I, Parent/Guardian, give permission for Participant to participate in the event described below, including the activities and transportation identified in this Form B. I understand that the event will be conducted under the supervision of personnel or volunteers of the Catholic Diocese of Fort Worth and/or the participating parish, school, or ministry.

EMERGENCY MEDICAL AUTHORIZATION

If no person having the legal right to consent to Participant’s treatment can be contacted in time, and no such person has given actual notice to the contrary, I authorize either adult leader identified above who then has actual care, control, and possession of Participant to consent on Participant’s behalf to medical, dental, or surgical examination and treatment reasonably believed necessary because of illness, injury, or other emergency occurring during the Event. I also authorize emergency medical transportation when reasonably necessary.

I agree not to send Participant to the Event if Participant is experiencing a contagious illness or other condition that makes participation unsafe (i.e., mumps, measles, chicken pox, flu, etc.), and I will promptly notify the event leader of any material health condition or change relevant to Participant’s safe participation.

 

Alternate Emergency Contact Information:

 

CODE OF CONDUCT AND EXPECTATIONS OF ALL PARTICIPANTS

The purpose of this Code of Conduct is to identify personal behavior that is consistent with the purpose and objectives of the Diocese of Fort Worth. The items within the Code are based upon performance and are designed to protect the welfare of all participants.

 

GENERAL EXPECTATIONS: 

1. Respect for Others: Participants will maintain a Christian witness, respecting the dignity of each person in word and action. Participants will also respect church property and the personal property of others.
2. Active and Positive Participation: Participants will engage positively in all activities, contribute to the group in a meaningful way, and follow the instructions of all adult leaders.
3. Respect for Authority: Participants will comply with the guidance and direction provided by Diocese/Parish employees and volunteers.
4. Respectful Conduct: Participants will refrain from causing disruptions. Disruptive behavior, including harassment, intimidation, and bullying, will not be tolerated.
5. Christian Language and Attitude: Participants are expected to use language that reflects a Christian attitude, avoiding profanity, foul language, and any speech that is disrespectful of others or the Catholic faith.

 

GUIDELINES FOR APPROPRIATE BEHAVIOR: 

1. Respect for Physical Boundaries: Physical contact such as tickling, wrestling, piggyback rides, and other inappropriate touching is strictly prohibited. Inappropriate physical displays of affection, including kissing, frontal hugs, sitting on laps, and laying or sleeping next to another person, are prohibited. Participants must remain in designated group or activity areas and may not isolate themselves with another person in a private or secluded location. 
2. Sexualized Behavior and Harassment Prohibited: Any behavior of a sexualized nature, or behavior that gives the appearance of being inappropriate (whether intentional or not), is strictly prohibited. This includes sexual harassment, inappropriate touching, and any actions that could make others uncomfortable. Engaging in sexual intimacy, engaging in lewd or lascivious behavior, or possessing lewd or lascivious material (i.e., pornography) during Diocesan/Parish activities is prohibited and will result in appropriate disciplinary action. Illegal activity may be reported to the appropriate authorities as required or as appropriate under diocesan policy.
3. Dress Code: Participants are expected to wear modest clothing that reflects respect for themselves and others. Clothing that is sexually suggestive, degrading, or inappropriate in any way is not permitted. T-shirts or other items with inappropriate content, such as vulgar, evil, offensive, or illegal messages, are prohibited. Clothing should not reveal midriffs; low-cut tops, spaghetti straps, and see-through materials are prohibited. Pants should not sag to show underwear; shorts and skirts should meet the standards of a Catholic school dress code.  

 

SAFETY AND WELL-BEING: 

• Participants are expected to stay with their designated group at all times during Diocesan/Parish events and activities. Leaving early or being absent from the group requires prior written authorization from Parent/Guardian provided to the supervising adult.
• Participants may not bring weapons of any kind (including pocketknives) to Diocesan/Parish events or activities.
• Participants are strictly prohibited from possessing, using, or being under the influence of alcohol, tobacco, marijuana, illegal drugs, or any controlled or other substance that is not lawfully possessed and used as authorized. This prohibition does not apply to medication disclosed on Form A and possessed or used in accordance with applicable program procedures.

 

A violation of this Code of Conduct will be addressed by the leader in charge, consistent with applicable diocesan and parish policies. Disciplinary action may include any consequences deemed appropriate by the Diocese/Parish, including removal from the Event/Program. The Catholic Diocese of Fort Worth reserves the right to take necessary actions to ensure the safety, respect, and well-being of all participants.

 

I, Parent/Guardian, represent that I have legal authority to give the permissions and authorizations in this Form B. I consent to Participant’s Participation in the Event, agree to the emergency medical authorization above, and agree to support enforcement of the Code of Conduct. I represent that I have reviewed the Code of Conduct with Participant, that Participant understands the behavior standards and conduct expectations, and that Participant agrees to comply with the Code. I understand that a violation may result in consequences, including Participant’s removal from the Event, in which case I agree to promptly arrange for Participant’s pickup or return.