Parent/Legal Guardian Information
Local Emergency Contact (Other than parent/guardian)
Video and Photography Consent
As parent/guardian, I understand that promotional pictures and videos (individual and group) will be taken during this event. I give permission for my son’s/daughter’s picture to be used for promotional materials (newsletter, web page, calendars, power point, video etc.) in highlighting the event.
Consent and Liability Waiver
I grant permission for my child to participate in St. Michael Youth Faith Formation to be held October 1, 2017 - December 31, 2018. In consideration of my son’s/daughter’s participation in this event, I agree on behalf of myself, my child named herein, and our heirs, successors, and assigns to indemnify, hold harmless and defend the Archdiocese of Galveston-Houston, the sponsoring parish, its pastor, youth ministry leader, principal, other agents, employees or other representatives associated with the event from any and all injuries, losses or claims arising out of my child’s participation in the event.
In signing this form I certify that all information contained herein is true and accurate to the best of my knowledge.