*If yes, you will be emailed a link to register for a group.
If yes, please fill out the information below FROM THE YOUTH PARTICIPANT'S Insurance Card:
Specific Medical Information
PARENT/GUARDIAN grants permission for YOUTH PARTICIPANT to participate with the various programs and activities of the Diocese of Fort Worth and/or the PARISH beginning the 1st day of June, 2021 and continuing through the 31th day of May, 2022. These various programs and activities will take place under the guidance and direction of employees and/or volunteers from the PARISH and/or the Diocese of Fort Worth. This permission and liability waiver will be kept on file and will accompany the child on any and all programs and activities of the Diocese of Fort Worth and/or the PARISH. A separate FORM B Consent to Participate and Consent to Emergency Medical Treatment must be filled out and turned in to accompany this form per each program and/or activity.
I understand that as parent/guardian/conservator, I remain legally responsible for any personal actions taken by the participant named above.
I agree on behalf of myself, the above named YOUTH PARTICIPANT, our/his/her heirs, successors, and assigns to hold harmless, the Diocese of Fort Worth, the Bishop and his successors, employees, agents, volunteers, the Parish, its employees and volunteers from any and all claims (unless due to the negligence of the Diocese and/or Parish) for illness, injury, death and the cost of medical treatment therewith, arising from or in any way connected with my son’s/daughter/participant’s attending the various programs and activities during the dates named above.
In the event 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 reasonable court costs, reasonable attorneys’ fees and expenses incurred by the prevailing party.
I also consent to the use of any videotapes, photographs, slides, audiotapes, or any other visual or audio reproduction (in perpetuity unless otherwise revoked by me in writing and delivered to the PARISH and by certified mail, return receipt requested, to: The Catholic Center, 800 West Loop 820 South, Fort Worth, TX 76108, ATTN: Director of Youth Ministry and Adolescent Catechesis) in which my son/daughter may appear by the Diocese of Fort Worth. I understand that these materials, including websites and social media sites, are being used for promotion of the youth ministry of the Diocese of Fort Worth which may include recruitment and fundraising efforts.
Social Media Release
The Diocese of Fort Worth utilizes today’s technology in a positive way to reach out to the youth of the Diocese, including Facebook email, and other social media. We may remove any content deemed inappropriate. All communications with any youth through social media programs by anyone representing the Diocese may be made available to any parent upon request. If you do not allow your son/daughter to text, Facebook, or use other social media, there will be no expectation that they do so in order to participate in certain youth ministry events. However, the Diocese cannot guarantee that photos, videos or other communications of your son/daughter from diocesan and/or parish events will not be uploaded to a social media site.
To the best of my ability, everything I have stated here is true and accurately reflects my wishes.
Consent to Participate and Consent for Emergency Medical Treatment
to participate in the below described parish event. This activity will take place under the guidance and direction of parish employees and/or volunteers from St. Maria Goretti Catholic Church.
A brief description of the activity follows:
Description of event: SMG Youth Formation programs and events
Date of event: June 1, 2021 - May 31, 2022
Destination of event: St. Maria Goretti Catholic Church or off-site locations for formation and fellowship meetings
Individual(s) in charge: Krista Robinson, other parish staff, and adult volunteers
Estimated departure and return: times vary
Mode of transportation to and from event: transportation to/from event is the responsibility of the participant
Diocese of Fort Worth Code of Conduct, expectations of all participants and dress code
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.
CODE OF CONDUCT OF ALL YOUTH PARTICIPANTS
Youth will respect themselves, other people, other people’s property, and church property.
Youth will participate and contribute in a positive way in all activities and obey the instructions of the youth ministry, adult volunteers, and staff.
During the event youth will show respect by not causing disruptions.
Harassment, intimidation or bullying will not be tolerated under any circumstances.
Youth will use language that reflects a Christian attitude. Youth will not use curse words or other foul language.
Youth will maintain a Christian witness to the dignity of each person: no tickling, wrestling, piggyback rides or inappropriate touching (which means: do not touch anyone anywhere that a bathing suit would cover). In addition, physical displays of affection such as kissing, full body hugs, sitting on laps, and lying or sleeping next to each other are inappropriate. Being isolated or alone with another student is not allowed.
Youth will wear modest clothing. No clothing that is sexually suggestive or spiritually degrading. T-shirts or other clothing with evil, vulgar, illegal, or inappropriate content will not be acceptable. In addition there should be: no midriffs, no low-cut tops, no spaghetti straps, no see through clothing, and no sagging pants to where underwear shows. Please do not wear short shorts. Shorts must follow the same guidelines as the school system.
Youth will stay with the group at all times during the event and will not leave early unless approval from a parent or guardian ahead of time or in person. Youth will not possess any weapon of any kind (knife, gun, etc.) at any youth ministry activity at the church or event.
Youth will not use, possess or be under the influence of alcohol, tobacco, marijuana or any other illegal drugs at any youth ministry activity.
Youth will not engage in sexual intimacy or sexual harassment, and will not possess pornography at any youth ministry activity. Any illegal activity will prompt reporting to proper authorities depending upon the situation.
In the event the Code of Conduct is violated by a youth, proper diocesan protocols will be handled by the diocesan employee, pastor, youth minister or adult volunteer in charge. Failure to comply with the Code of Conduct will result in disciplinary action, up to and including removal from the event.
I have read and understand the above CODE OF CONDUCT, EXPECTATIONS OF ALL PARTICIPANTS and will comply.
We know that ministry with children is built upon a sacred trust. We at St. Maria Goretti Catholic Church are committed to preserving this trust, at all times and in all places, and affirm the dignity of each of our youth as created in the image and likeness of God.
In 2002, the United States Bishops approved The Charter for the Protection of Children and Young People in an effort to protect children and youth from sexual abuse at all levels of church life and to restore trust in a Church scarred by the scandal of clergy sexual abuse. Article 12 of the Charter directs all dioceses to create programs and processes to teach children and youth about sexual abuse and its prevention. In the Diocese of Fort Worth, this program is integrated into the Catholic school curriculum, religious education classes, and youth ministry sessions each year in all parishes.
Elementary grades (Pre-K 4 through 5) receive age-appropriate information designed to grow emotional and behavioral boundary skills, including identifying feelings, learning rules for how people should treat each other, and recognizing safe adults. For those children in 6th grade and above, the session focuses on physical, emotional, and behavioral boundaries, what to do if those boundaries are violated, who you can tell about abuse, and what you can say if you ever need to talk about boundary violations or abuse.
We will present this Diocesan program, Called to Protect (CTP), during all Pre-K 4 through 12th grade youth formation sessions on Sunday, November 7, 2021.
If you are okay with your child participating, simply check the “Yes” below. If you do not want your child to attend, check “No” on the form. We will make sure that he/she is not in class at that time.
If you select “No,” we will send materials home to you to go over with our child.
In Case of Separation or Divorce, Primary Custody Information (if applicable):
Joint Custody Information (if applicable):
Please complete your registration by hitting the submit button below.
2021-2022 ministry calendars will be e-mailed to you in late August.
See you in September!