I/we, the parent(s) named above, grant permission for my child to participate in St. Pius X Youth Ministry/ Confirmation opportunity. I am aware that cell phone coverage is not always available and sometimes not available at all. I am fully aware that my child may require transportation by a core team member. I understand that said transportation will be determined on an as needed basis with what ever means available to the supervising core team member. This member and all drivers will not be less than 21 years old.
I grant permission, if needed, for my child to be evaluated, diagnosed, treated, and /or medicated in accordance with standard medical practice by licensed medical personnel. I relieve St. Pius X Church and the Roman Catholic Diocese of Albany of all responsibility and consequences that may arise as the result of this treatment.
I will not hold St. Pius X Church, the Roman Catholic Diocese of Albany, or any and all other participating chaperones responsible in the event of injury. Further, I agree to accept any and all financial responsibility as a result of scheduling such treatment.
My child agrees to abide by all rules and regulations decided upon by the St. Pius X Church and the Roman Catholic Diocese of Albany. I understand that neither St. Pius X nor the Roman Catholic Diocese of Albany will be held liable if my child fails to cooperate with said regulations and that any infractions of the rules may result in immediate dismissal from the event. I further understand that I will be responsible for any costs or other requirements for immediate transportation home. The participant will not be left unattended while waiting for transportation home.
Media/Photo Waiver: I hereby authorize and give my full consent to St. Pius X Youth Ministry/ Confirmation Chaperones to copyright and/or publish any and all photographs, videotapes and/or film in which my child or myself appear while participating in any programs sponsored or chaperoned by St. Pius X Youth Ministry/ Confirmation Programs. I further agree that they may transfer, use or cause to be used, these photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes and television programs without limitations or reservations.