Carlo Acutis: Roadmap to Reality Movie

Parent/Guardian Consent Form & Liability Waiver

I grant permission for my child to participate in the Carlo Acuits: Roadmap to Reality Movie that requires transportation to a location away from the parish/school site. Transportation is the responsibility of myself or a designated adult, not the responsibility of St. Benilde Parish. This activity will take place under the guidance and direction of employees and/or volunteers from Archdiocese of New Orleans CYO/Youth & Young Adult Ministry Office and various parishes.

As parent and/or legal guardian, I remain legally responsible for any actions of the above-named minor (“participant”). I confirm that there are no necessary changes to the Medical Information Consent form for my child that I previously submitted. If there are any necessary changes, I will complete another Medical Information Consent form. I agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to indemnify, hold harmless, and defend the CYO/Youth & Young Adult Ministry Office, the parish and/or school and The Roman Catholic Church of the Archdiocese of New Orleans, their members, directors, officers, employees, agents and representatives associated with the event from any and all liability claims, loss or damage arising from or in connection with the negligent or intentional acts of my child or third parties.

Event Rules/Expectations & Disciplinary Policy

VIOLATIONS OF ANY OF THE REGULATIONS LISTED BELOW MAY RESULT IN YOUR IMMEDIATE RETURN HOME BY COMMERCIAL CARRIER AT PARENT/GUARDIAN’S EXPENSE

Following these regulations is required for the entire duration of this activity.

• Chaperones are to be respected at all times; instructions are to be followed.

• Alcohol, smoking/vaping, illegal drugs, and weapons/dangerous items of any sort are forbidden.

• Items of a political nature, particularly clothing, will not be permitted

• Sexual activity inconsistent with the teachings of the Roman Catholic Church is forbidden.

• No one is permitted to leave the area of a designated activity such as a retreat facility, meeting space, restaurant, hotel, tour location, etc. without the express permission and escort of a chaperone.

• Anyone damaging property will be held responsible for the cost of damages. The participating parish/school and/or the Archdiocese of New Orleans’ Youth & Young Adult Ministry Office are not responsible for damage expenses that an individual incurs.

• Theft of property is forbidden.

• If a participant uses prescription medication (i.e. insulin, Ritalin, pain medication, etc.), the group leader and/or activity director reserves the right to have adult chaperones hold and administer such medication.

• You must be on time for all departures, arrivals, and other scheduled activities.

• The participating parish/school and/or the Youth & Young Adult Ministry Office are not responsible for any lost or stolen items of value you choose to bring with you to any activities, such as laptops, expensive electronics, expensive jewelry, etc.

• Consequences for violating any of these regulations may include loss of privileges in this program, on any trips, or future Archdiocesan activities, suspension, expulsion, informing of your school’s administration, and being sent home during the event at parent/guardian’s expense.

• I have read and discussed the regulations for this event, with my son or daughter and he or she is aware of them.

I understand that if my child violates the Code of Conduct/Rules & Regulations for Archdiocese of New Orleans Youth Events, any of the above-mentioned rules, or any others deemed necessary by the event director, parish/school group leader, and/or adult chaperones for the safety and welfare of the group, I agree to have my child sent home immediately at my expense. I understand that further disciplinary action may be taken upon return home depending upon the gravity of the violation.