Parent Permission Form
PARENT PERMISSION FORM FOR FIELD TRIP PARTICIPATION
Any specific medical needs that the administrator should be aware of? Yes ____ No ____If yes, please explain:
I hereby consent to participation by my child, ________________________________________, in the Winter Jam Concert. I understand that this event will take place away from the parish grounds and that my child will be under the supervision of the designated parish employee/volunteer on the stated dates. I further consent to the conditions stated above on participation in this event, including method of transportation.
In consideration of my child being allowed to participate in this field trip, I hereby agree on behalf of myself and my child, to release Christ Our Light, the Roman Catholic Archdiocese of Detroit, and any and all affiliated organizations, their employees, agents and representatives, including volunteer drivers (collectively “Releasees”), from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the field trip. In the event this release on behalf of myself and/or my child is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the field trip. This release or indemnification does not apply to claims for intentional misconduct or gross negligence; nor does this release or indemnification apply to the extent of commercial insurance coverage for any claim, but this Release or Indemnification shall apply to the extent of any self-insurance or deductible applicable to any claim.
I understand that photography and/or video of participants may be procured during the event and used in promotional materials, etc. I consent to the use of images or likenesses of the aforementioned person, for promotional purposes, by St. Colette Youth Ministry.