Dear Parent or Legal Guardian:
Your son/daughter is eligible to participate in a diocesan sponsored activity offsite. This activity will take place under the guidance and supervision of employees from the Diocese of Greensburg. For this event youth must be in grades 9-12. A brief description of the activity follows:
Name of Event:National Catholic Youth Conference
Destination: Indianapolis, IN
Dates: November 20-24, 2019
Time:: 1:00 PM (Wednesday) to 6:00 AM (Sunday)
If you would like your child to participate in this event, please complete, sign, and return the following statement of consent and release of liability. As parent or legal guardian, you remain fully responsible for any legal responsibility which may result from any personal actions taken by the named student.
I hereby consent to participation by my child in the event described above. I understand that this event will take place away from parish grounds and that my child will be under the supervision of the designated school/parish employee on the stated dates. I further consent to the conditions stated above on participation in this event, including the method of transportation.
I hereby grant to the Diocese of Greensburg, Pennsylvania, and its respective licensees, successors and assigns, the right and permission, with respect to those photographs taken of me or the minor named below on whose behalf I am signing, and with respect to any printed or electronic matter in connection therewith, to do the following:
1. To include such photographs on the Diocese of Greensburg website, Diocese of Greensburg Social Media Sites, and the Catholic Accent
2. To use my name, or the name of the minor on whose behalf I am signing, in connection with the foregoing.
I hereby release, discharge and agree to indemnify and hold harmless the Diocese of Greensburg and its legal representatives, licensees, successor and assigns, from all claims and demands whatsoever arising out of or in connection with the foregoing, and waive any right to inspect or approve the same.
We, the parents/guardians of (student name) do hereby give our permission for him/her to attend the National Catholic Youth Conference on November 20-24, 2019.
We do hereby release and forever discharge the Diocese of Greensburg and designated chaperones from any/all actions or suits in law or equity which we might hereafter have by reasons of injuries sustained by our son/daughter participating in the above mentioned activity. In case of emergency, we give permission for our child to be treated at a hospital and/or by a medical doctor.