Texas Rally For Life - Youth Ministry

Texas Rally for Life 2025

Join thousands of Texans from across the state on January 25th, 2025 in Austin, Texas at the 2025 Texas Rally for Life. Show our elected officials, the media, and the Supreme Court that Texas is pro-life!
Name of Youth*

First NameLast Name
Age*
Parent/Guardian Phone*
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Parent/Guardian Email*
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Parish:*
Youth Leader
If unsure or none please put n/a

PARENTAL/GUARDIAN CONSENT

PARENTAL/ GUARDIAN PARTICIPATION CONSENT, LIABILITY WAIVER, PHOTOGRAPHY/VIDEOGRAPHY, AND MEDICAL CONSENT
In consideration of my child's participation in this diocesan event, I
Name of Parent*

First NameLast Name
grant permission for my child, child's name* to participate in the Texas Rally For Life on January 25th, 2025. This event would leave from Our Lady of Corpus Christi (1200 Lantana St. CC, TX. And travel by bus (Distance Brothers) to various locations in Austin and return to Our Lady of Corpus Christi in the evening. Departing at 5:30am and returning by 9pm.

RELEASE, WAIVER AND INDEMNITY AGREEMENT

In consideration of my child’s participation in this diocesan event, I, grant permission for my child, child's name* to participate in the Texas Rally for Life in Austin, TX., I(name of other parent) agree on behalf of myself, our heirs, successors, executors, personal representatives and assigns to protect, indemnify, save, and hold harmless the Diocese of Corpus Christi, and their officers, directors, agents employee, or representatives associated with these activities mentioned above from all damages, claims, suits, expenses and payment on account of or resulting from any such injury, death, or damage to property, including resulting from the negligence of the Diocese of Corpus Christi, and their officers, directors, and employees arising from or in connection with my son/daughter attending these activities. In the event that any legal action is taken by either party against the other party to enforce any of the terms and conditions of this agreement, it is agreed that the unsuccessful party to such action shall pay to the prevailing party therein all court costs, reasonable attorney’s fees and expenses incurred by the prevailing party.

THE UNDERSIGNED HEREBY PERMITS THE DIOCESE, and media outlets to make and use photographic likeness of my son/daughter, in a still or video commercial, to be exhibited by television broadcasting and/or the internet at the said media outlets. The material will be used for news and/or Diocesan purposes. It will also be utilized in Diocesan print materials and any forms of media release and/or video produced to help the Diocese.

THE UNDERSIGNED further expressly agree(s) that the forgoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the laws of the State of Texas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. THE UNDERSIGNED HAS (HAVE) READ AND VOLUNTARILY SIGN(S) THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT and further agree(s) that no oral representations, statements or inducement, apart from the foregoing written agreement, have been made.
Electronic Parent Guardian Signature*

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Date*

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ADULT PARTICIPANT’S RELEASE OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AGREEMENT & MEDICAL INFORMATION FORM
In consideration of the Parish/Diocese permitting to participate in the above event, I hereby:

RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE ABOVE-NAMED PARISH/SCHOOL AND THE DIOCESE OF CORPUS CHRISTI FOR ANY AND ALL CLAIMS AND LIABILITY, WHICH CAUSES THE UNDERSIGNED INJURY, DEATH OR PROPERTY DAMAGE AND FURTHER AGREE TO HOLD RELEASEE(S) HARMLESS AND INDEMNIFY RELEASEE(S) FROM ANY CLAIM, JUDGMENT OR EXPENSE RELEASEE(S) MAY INCUR BY PARTICIPATION IN THE DESCRIBED ACTIVITY/FIELD TRIP.

I UNDERSTAND that participation in the described activity/field trip involves danger and risk of injury. The inherent danger is understood and voluntarily assumed
I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS A RELEASE OF ALL CLAIMS. I UNDERSTAND I ASSUME ALL RISK INHERENT IN THIS ACTIVITY. I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THESE PROVISIONS.
In the event of an emergency and you are unable to reach me, contact:
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Insurance Information
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Or Select:

I do not have insurance at this time
I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS A RELEASE OF ALL CLAIMS. I UNDERSTAND I ASSUME ALL RISK INHERENT IN THIS ACTIVITY. I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THESE PROVISIONS.
Electronic Parent Guardian Signature

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Registration for Texas Rally for Life
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Texas Rally for Life 2025

PARENTAL/GUARDIAN CONSENT

ADULT PARTICIPANT’S RELEASE OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY AGREEMENT & MEDICAL INFORMATION FORM

Insurance Information