Tunica Hills Day Trip

Parent/Guardian Consent Form & Liability Waiver

I grant permission for my child to participate in the Tunica Hills Hiking Trip that requires transportation to a location away from the parish/school site. 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.

Photo/Video Release

I agree that CYO/Youth & Young Adult Ministry Office, the parish and/or school may use any photographs or videos taken of my child in connection with this event for promotional purposes in any form, including all print and digital media. I acknowledge that CYO/Youth & Young Adult Ministry Office, the parish and/or school has no responsibility in the misuse of these photographs or videos once published. I agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to indemnify, hold harmless, and defend 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 arising from or in connection with the use of photographs and videos of my child in connection with this event

Event Rules/Expectations & Disciplinary Policy

VIOLATIONS OF ANY OF THE REGULATIONS LISTED BELOW MAY RESULT IN YOUR IMMEDIATE RETURN HOME BY TRANSPORTATION AT PARENTS' EXPENSE/RESPONSIBILITY

• 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 the parish, retreat house, work site, etc. without the express permission and escort of a chaperone.

• Anyone damaging property will be held responsible for the cost of damages. St. Clement of Rome/St. Benilde Parish is 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 director reserves the right to have a chaperone hold and administer such medication.

• Please be on time for gatherings, practices, and games and communicate any conflicts or delays.

• Please do not bring valuables such as jewelry, expensive electronics, etc. St. Clement of Rome/St. Benilde Parish is not responsible for loss or damage that may result to such items.

• Consequences for violating any of these regulations may include loss of privileges on this trip or future St.Clement of Rome/St. Benilde Parish activities, suspension or probationary period from CYO, removal of CYO, informing of your high school's administration, and being sent home during the at parent/guardian's expense/responsibility.