Youth Ministry Waiver

Please complete this form and check the box for the appropriate participation (general youth ministry and/or specific events).
 
 
 
 
 
 
 
 
Please select all that apply.
Please select all that apply.
 
Waiver of Liability

As parent/legal guardian, I remain legally responsible for any personal actions taken by named young person.  I agree on behalf of myself, my child’s other parent if known or living, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend St. Gabriel’s, its officers, directors and agents, and the claims or demands that may be made or brought against the parish, its officers, directors and agents, and the Diocese of San Diego, chaperones, or representatives associated with the event, arising from or in connection with my child’s attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of San Diego, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses arising in connection therewith.
Please select all that apply.
 
Permission to seek emergency medical care:

Please select all that apply.
Media Release

I affirm that photographs and video may be taken of me and/or the undersigned minor child. I hereby authorize St. Gabriel Catholic Church to use any such photographs or videos containing my image or likeness and/or the undersigned minor child’s image or likeness, and our names, for promotional or marketing needs, including but not limited to printed material, videos, and websites.



I release St. Gabriel Catholic Church from any expectation of confidentiality for the undersigned minor child and myself. I attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize St. Gabriel Catholic Church to use such photographs, videos and names.



I acknowledge that since participation in publications and websites produced by St. Gabriel Catholic Church is voluntary, neither the minor child nor I will receive financial compensation.



I further agree that participation in any publication and website produced by St. Gabriel Catholic Church confers no rights of ownership whatsoever. I release St. Gabriel Catholic Church, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor child.


 
 

Description

Please complete this form and check the box for the appropriate participation (general youth ministry and/or specific events).