Form 2 of 3
DIOCESE OF GARY ACTIVITY RELEASE FORMS
PARENT AUTHORIZATION AND WAIVER OF RISK FOR TRAVEL
I hereby give my consent for my daughter/son: ___________________________________, to participate in:
(event) _________________________________________________, including traveling from and to:
(location) _________________________________________________.
(S)he will be traveling by (means of transportation)______________________________________________.
I understand that neither the Diocese of Gary, the Parish, the Parish Youth Minister, the Parish Chaperone, nor the staff is liable in the event of an accident or injury to my child. I also assume full responsibility for the consequences of my child’s actions during these activities.
Waiver of Risk
I understand that, despite careful and proper preparation, there is still a risk of injury when participating in any activity.
In consideration for the Diocese of Gary, the Parish, and Office of Youth Ministry, or any other participating organization, permitting my child to participate in the above activity, I agree to indemnify, defend, hold harmless and release the Diocese of Gary, the Parish, and Office of Youth Ministry, or any other participating organization, and their officers, agents, representatives, employees and volunteers, against and from any and all claims, suits, losses, costs, damages, expenses, and liability arising out of any act or omission or other occurrence, whether or not caused by or resulting from this activity, the Catholic Diocese of Gary, Parish, and Youth Ministry, or any other participating organization, their agents, representatives, employees, and volunteers during the course of the activity in which he or she is participating.
______________ _________________________________________
Date Signature of Parent or Legal Guardian