I give my permission for my child(ren) to participate in St. Therese Youth Group (STYG) August 1, 2020 to August 1, 2021. I also understand that a certain code of conduct is expected of all youth and adults attending any St. Therese Youth or Diocesan sponsored event. By signing below, I state that my child(ren) has read and has full understanding of the code of conduct. I understand that any violation of the code of conduct by any youth is grounds for dismissal. If my child(ren) is in violation of the code of conduct, I understand that I will be contacted by telephone regardless of the time of day or evening to be informed of the incident. I also understand that all arrangements and costs for transportation home will be the responsibility of the parent or guardian.

I, individually, on behalf of the minor child’s other parent/guardian and on behalf of the child listed above, acknowledge that participation in activities and travel off of the church property involve certain risks. I, on my own behalf, hereby release, discharge and indemnify St. Therese Catholic Church, its employees, agents, and all volunteer personnel from all liabilities for damage, injury, or illness to the minor child or his/her property during his/her participation in any activity or travel to or from any activity away from or off of church property. I understand that any activity requiring transportation from church property in any situation other than emergency will require a signed release for each activity.

I give permission to the St. Therese Youth Ministry Team to contact my child directly via text, email, and/or social media in regard to youth nights, small groups, upcoming events, and other youth ministry related events or information.

The 2019 Novel Coronavirus (COVID-19) is an extremely contagious illness. Federal, state, and local governments and health agencies have recommended social distancing and have placed limitations on the congregations of groups. As we begin to reopen we have established guidelines to protect those who choose to attend. However, the parish of St. Therese, cannot guarantee that you or your family will not become infected with COVID-19. By signing this Release, I acknowledge the contagious nature of COVID-19 virus. I voluntarily assume the risk that my child may be exposed to or infected by the COVID-19 virus by participating in a gathering at St. Therese. I hearby release, covenant not to sue, discharge, and hold harmless the parish of St. Therese, their respective employees, agents and representatives, from any and all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.

I hereby agree to have Audio/Video and Photographs taken of me and kept on file by St. Therese Catholic Church on the following date(s) 8/1/2020 – 8/1/2021 while participating in St. Therese Youth Group (STYG). I understand that the audio sound bites and images shall be exclusively owned by St. Therese Catholic Church and it may be used for the purposes of promoting the St. Therese Youth Group (STYG) or another development program of the Parish. St. Therese Catholic Church made no representations or other promises to me regarding quality or possible distortion of this material.

I hereby expressly grant all rights, in perpetuity, for the use of all or any part of the sound or video images taken of me on the above date. I acknowledge that the audio and video images have been taken free of charge and without a professional fee or any other compensation.

I further acknowledge that I shall receive no royalties, residual compensation or any other consideration of any sort from any party at any time, as a result of the audio and video being taken or arising from the subsequent reproduction or distribution of the audio and video taken on the above date. I expressly waive and relinquish without recourse all rights, interests and claims that I may now have or may have at any future time in the audio and video taken on the above date. I expressly waive notice of distribution or redistribution or any right of approval of the material taken on the above date.

I hereby grant St. Therese Catholic Church my permission to publish my name and use my likeness that it manufactures from the material taken on the above date. This permission extends to St. Therese Catholic Church and any subsequent party which the parish may designate that is involved in the reproduction and distribution of this material.