Parental Consent for Youth to Participate in Activity and Release

A. The undersigned represent that they are the parents or legal guardians of Participant and have full authority under law to sign this document.

B. Parents grant their permission for Participant to enroll and participate in the Vacation Bible School at St. John Neumann Catholic Church June 5-9, 2023.

C. Parents acknowledge and agree that:

(1) Participant and Parents voluntarily seek to participate in Vacation Bible School;

(2) Vacation Bible School may involve physical activity that involves risk of injury;

(3) Participant and Parents will abide by all policies and rules established for Vacation Bible School and instructions of those persons facilitating, organizing, or overseeing the Vacation Bible School;

(4) Parents and Participant are responsible for Participant’s conduct during Vacation Bible School and are responsible for any damages, claims, or other costs caused by Participant or incurred as a result Participant’s conduct; and

(5) if Participant’s conduct is inappropriate, unsafe or detrimental to the environment, other participants or other persons, St. John Neumann may suspend or expel Participant from Vacation Bible School

D. Unless this paragraph is struck and initialed by the undersigned, Parents authorize St. John Neumann to provide over-the-counter aspirin, pain relievers, cold medicine, and other over-the-counter medications to Participant at Participant’s request if St. John Neumann deems it reasonable to do so. St. John Neumann will make reasonable attempts to notify Parents prior to authorizing any such over-the-counter medication.

E. In the event of an emergency or a situation that is reasonably considered to be an emergency, Parents authorize St. John Neumann to seek and authorize emergency medical care to be given to Participant(for example, first aid, medication, anesthesia, or surgery). St. John Neumann will make reasonable attempts to notify Parents prior to authorizing any such emergency care.

F. Parents grant Parish and the Diocese permission:

(1) to photograph and video tape Participant during Vacation Bible School; and

(2) to use the photographs and video tapes in publications and promotions of St. John Neumann, including but not limited to publications such as websites, newsletters, advertisements, scrapbooks, and yearbooks.

G. To the extent permitted by law, Parents, for themselves and for Participant, release and agree to indemnify and hold harmless the Parish and the Diocese from any and all liability, claims, demands, and costs which may arise as a result of Participant’s participation in Vacation Bible School or which is, in any way, related to such participation. This paragraph covers loss under any theory of loss (negligence or otherwise) including but not limited to personal injury or property damage. Parents and Participant assume all risk of injury or loss to themselves or their property.