PARTICIPANT CONDUCT & MEDICAL CONSENT RELEASE STATEMENTS
I, the undersigned, hereby grant permission for my
(circle one) to attend and participate in
Christ the King Youth Ministry Events for 2016-2017
. In case of medical emergency, I understand that every effort will be made to contact the parents or guardian of the participant. If necessary, and in the event I cannot be contacted or respond, I hereby grant permission for my son/daughter to be evaluated, diagnosed, and/or medicated in accordance with standard medical practice by licensed medical personnel. I relieve Christ the King Church and the Archdiocese of Portland of all consequences that may arise as a result of treatment. I understand that such an undertaking involves an element of risk. I assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless Christ the King Church and Archdiocese of Portland, staff, volunteers, and drivers from any and all liability that may arise out of participation in these activities. Furthermore, I agree to accept any and all financial responsibility as a result of scheduling treatment for such injuries. (Note- please fill out attached
Student/Youth Emergency Information and Procedure Form
to be kept on file for 1 year).
Participants agree to abide by all rules and regulations attached to these events and that fighting, obscene language, and the use and/or possession of tobacco, alcohol, illegal drugs, and weapons of any kind is not acceptable behavior. I also understand that if the participant violates any of these or rules related to activity code of conduct and rules governing personal and private property, the participant may be required to leave the activity at the participant’s own expense and parents may be notified. I understand that Christ the King Church will not be held liable if my child fails to cooperate with such regulations.