Teen's Information
 

Medical Information
 

Parent Information
(Emergency Contact)
 

Waiver
 

I understand the scope and nature of the aforementioned program. 
I recognize, as with any activity, the possibility of injury associated with my child’s participation in this program. 

I and my spouse assume all risks in connection with our child’s participation in the aforementioned program. 

I, on behalf of myself, my spouse, my heirs and assigns, my executor, all other legal representatives and any others claiming through me or on behalf of me, hereby agree to release, discharge, and indemnify the Church of the Holy Angels  and its pastor, administrator, the Roman Catholic Diocese of Cleveland and the Bishop of the Roman Catholic Diocese of Cleveland, as well as their representative employees, agents, representatives, sponsors, and volunteers from and against all claims, judgments, liability (of any nature or extent) which in any way arise out of or relate to my child’s participation in the aforementioned program sponsored by Holy Angels Catholic Church, whether foreseen or unforeseen. 

I understand that it is my responsibility to carry appropriate medical insurance for my child and that such is not the responsibility of the Church of the Holy Angels. 

I/we hereby give consent to  photograph or videotape aforesaid participant and without limitation to use such photographs or videotapes and or stories in connection with any work of the Church of the Holy Angels without consideration of any kind, and I do hereby release the Church of the Holy Angels from any claims whatsoever which may arise in said regard. 

I/we hereby give consent to  text, email, or call aforesaid participant in regards to youth group events held by or relating to the Church of the Holy Angels 

In Selecting "I Agree" below I warrant that I have read and fully understand this Release.