High School Youth Ministry Registration

As the parent of the above mentioned youth, I hereby grant permission for my youth to be medically treated in case of sickness or accident. I understand and acknowledge that participation in the activities involves inherent risks of injury to my youth. I agree to indemnify the Parish, Youth Ministers, Volunteers and the Diocese of Arlington for any costs or expenses arising out of my youth’s participation in the activities including the cost of any medical care given my youth or any expenses or fees incurred in any lawsuit arising as a result of any damage or injuries caused by my child in the course of his/her participation in the activity. I further give my consent to that in my absence the above named minor be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above named minor.

By clicking “I agree” and participating in any of the youth program’s various activities, events, volunteer opportunities, etc., I authorize Holy Spirit Youth Ministry to use my youth’s picture or video recording for social/advertising purposes to include but not limited to the parish website, parish social media, and bulletin boards on church grounds.

I understand that all Middle School Youth activities are “technology free”. This includes meetings, adventures and travel to and from those adventures. I agree to share this policy with my youth and will assist in seeing that he/she respect the policy. It is best the youth leave their cell phones and ipods at home or in the car. In the event they arrive with their phones, we will ask them to hand them over until the end of the meeting. While we will make every attempt to keep their devices secure, we will not be responsible if they are lost are stolen. Youth will have free access to use the chaperones phones or the office phones if they feel the need, no questions asked.

For Middle School Youth: I agree to present myself in a respectable manner – no inappropriate clothing (midriffs, tees with inappropriate slogans, etc) I agree to behave respectfully toward all others – be kind to your peers, don’t harass others, keep your hands to yourself, obey all chaperones, listen politely during meetings. No cursing. I agree to abide by the stated rules of the games we play, following the directives of the chaperones and maintaining good sportsmanship. I understand that if I violate the Code of Conduct, I will be asked to leave the meeting at that time and will not be permitted to attend the next meeting/activity. Parents agree to pick up their youth should it be requested of them.

I understand that it takes volunteers/chaperones to be able to hold a youth meeting. I agree to volunteer/chaperone at least one time a year. I hear it is a lot of fun and besides, our youth are worth it! To volunteer with our youth, you must be compliant with the Policy on the Protection of Children/Young People and Prevention of Sexual Misconduct and/or Child Abuse for the Diocese of Arlington. this includes a background check and attendance at a Virtus seminar entitled “Protecting God’s Children for Adults”. More information will be sent.