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MS Shine Youth Rally 3-27-22

MS Shine Youth Rally 3-27-22

Student Participation Parent Permission Form
MS Shine Rally

I hereby consent to participation by my child

In consideration of my child being allowed to participate in this event, I agree to waive and release, and indemnify and hold harmless Holy Family Parish, any and all affiliated organizations, its/their employees, agents, representatives, volunteers and drivers, from any and all claims I or my child may have, excluding claims for intentional misconduct or gross negligence, arising from or relating to my child’s participation in this event.

I authorize Holy Family Parish to obtain necessary medical treatment for my child in case of illness, injury or accident. List allergies, medication, dietary needs, learning needs, contacts, or other pertinent comments that may affect his/her participation in this event. Please also include instructions in the box below about these needs for the adult supervisor of this event if applicable.

I understand that photographs and video may be taken during this event for future publicity, but would be used without my child’s name, and that by consenting to my child’s participation in the event, I am consenting to said photography and videography.

Parents - Your help is needed!
We need lots of adult help to make retreat a success.
Please prayerfully consider how you can support us.

Note: All volunteers must have completed all Diocesan Background Check requirements and have completed a Protecting God's Children session.

Parent Signature: The information I've given in this form is complete and accurate. By electronically signing and submitting this form, I confirm that I have fully informed myself of the contents of this Parental Consent and Release Form by reading it before I signed it. I warrant that I possess all the rights, powers, and privileges of a parent or legal guardian necessary to execute this document with binding legal effect.


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