On behalf of and as the part or legal guardian of my child(ren) (named above), who is under eighteen (18) years of age, (hereinafter "the Minor"), hereby authorize the Roman Catholic Diocese of Phoenix and Our Lady of Joy Parish (hereinafter, the "Parish") to record the Minor's picture, voice and likeness in photographes, films, videotapes or other media during and in connection with the Minor's education in Parish or Diocesan activities or events, and to use the Minor's picture, voice, or likeness on the diocese website, in the Catholic Sun newspaper, or in any other media or publication without further compensation or permission. I further authorize the Diocese, its parishes, affiliated organizations, entities and agents and/or the Parish to edit any recording of the Minor's likeness and/or voice and incorporate any such recordings into print publications, electronic publications, softwear, movie and sound fils or tapes, broadcasts (radio recordings into print publications, electronic publications, software, movie and sound films or tapes, broadcasts (radio and television), programs or otherwise, and to use and license others to use such publications, recordings, software, movie and sound films and tapes and broadcast programs in any manner of media whatsoever, including unrestricted use for purposes of publicity, information, advertising and sale promotion. I understand that the Diocese or Our Lady of Joy Parish exclusively owns all rights to these recordings irrespective of the form in which they are produced or used. I further agree to indemnify and hold the Diocese, its parishes, and affiliated organizations, entities, licensees, employees and agents, and the Parish harless from and against any claims and liability for damages, losses or expenses of any kind arising from the making or use of any recordings, including, without limitation, claims with respect to the Minor's release and to give this indemnification. I understand the contents hereof, and have the right and authority to execute this release and to give this indemnification. I understand that this Release is to be interpreted under the laws of the state of Arizona without resorting to its conflict of laws rules, and I hereby submit to the jurisdiction of the courts of the state of Arizona with respect to any action arising under this Release.
General/COVID Waiver for Parish Participation
I give permission for my child(ren) as listed above to attend Our Lady of Joy parish (“Parish”), realizing that there is some potential for injury and illness inherent in such all Parish activities. I acknowledge that Parish is using is good faith, reasonable efforts to implement the recommendations of the Centers for Disease Control and Prevention (CDC), Arizona Department of Education, and state and local health authorities in light of the unique needs and circumstances of the Parish community, and in order to allow for in-person learning while protecting students, teachers, administrators, and staff and helping slow the spread of COVID-19. While the CDC states that these efforts help lower the risk of COVID-19 exposure and spread during parish sessions and activities, they cannot eliminate all risk of exposure and transmission, and Parish cannot ensure my child’s complete safety.
By allowing my child to attend the Parish in person, therefore, I specifically acknowledge and assume the risks and hazards associated with my child’s participation in all parish activities, but not limited to, the risks associated with the novel COVID-19 virus. I understand that my child will be associating with, teachers, administrators, staff and other children and may contract COVID-19, and other viruses and diseases, through my child’s participation in activities at parish. I understand and voluntarily assume the risk that my child may acquire COVID-19, and that COVID-19 may subsequently be transmitted from my child to me, my family, and members of my household.
I certify that my child is in good health and has no current issues that make it unsafe for my child to participate in Parish activities, which may not have a medical professional on staff. I will notify the Parish and not send my child to Parish or Parish functions if my child develops a fever or other symptoms of illness or tests positive for COVID-19. Furthermore, I will not send my child to Parish or Parish functions if my child is sick, has COVID-19 symptoms, or has been in close contact with someone who shows symptoms of or has been diagnosed with COVID-19 until after a 14 day exposure period has been exhausted for my child with no symptoms. I further agree that I will follow, and will take reasonable steps to ensure that my child will follow, all rules, policies and guidelines of Parish in order to protect other students, teachers, administrators, and staff and help slow the spread of COVID-19.
To the fullest extent permitted by law, I hereby agree to waive, release, and discharge any and all claims, causes of action, damages, and rights of any kind against the Parish, the Diocese of Phoenix, their insurers, and all of their respective employees, agents, representatives, and volunteers (the “Released Parties”) arising from or relating in any way to any injury or illness, including those related to COVID-19, that may occur to my child, me, or my household members due to my child’s participation in the Parish activity.
The fee for VBS is to offset costs incuding supplies, a light snack and the T-shirt. (If you would like to send your snack with your child you are welcome to)
1 Child $50
2 Children $95
3 or more children $135
Payments are to be made through Ezekielgiving. Once you submit this form you will receive instructions and be directed to the giving page.
Payment plans are offered as well as scholarships. Please contact Anna Dice for any questions or concerns. Lack of payment will not stop anyone from pariticipating.
Donations are accepted to be used as scholarships and to cover additional costs. Contact Anna Dice with any questions.
Anna Dice firstname.lastname@example.org 480-346-3047