First, tell us about yourself:

Parent Information

PHOTO RELEASE

I agree to grant to St. Elizabeth Seton Catholic Church (SES) and its staff and authorized representatives permission to record digital photographs and/or video of my child(ren)'s participation.  I understand these photographs and/or videos may be shared on social media outlets and/or St. Elizabeth Seton Catholic Church's website.

Informed Consent/General Release

PLEASE READ CAREFULLY AND CHECK THE BOX BELOW TO INDICATE YOUR AGREEMENT.

By submitting this form, I understand that the program will have competent adult supervision and reasonable and appropriate measures will be made to minimize the risk of injury and/or accident.

I hereby grant my consent for staff members and/or adult volunteers under whose auspices the program is conducted, to secure all necessary emergency medical care and/or treatment that may be necessary for my child during the entire event including the trip to and from their destination, if provided by a staff member or adult volunteer. I further assume all responsibility for the decisions so made, and the emergency care or treatment so secured, in the event that I cannot be reached.

In case of accident, injury or loss, neither my family nor I hold the place where the event is conducted, the group sponsoring the event, nor any person or affiliate organization associated with the event, responsible or liable. In case of accident or serious illness, I request SES or its volunteers to contact me or emergency contact provided above. If unable to reach me, I hereby authorize SES or its volunteers to make whatever arrangements seem necessary. I authorize EMERGENCY medical treatment to be given to my child.

Tell us about your participant:


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