1. I hereby state that the information included in this form is correct.
2. I understand that I will be responsible for the supervision of minors from the parish/group with which I am attending. I agree to follow all additional instructions from the Archdiocesan staff regarding said supervision.
3. In the event that I am not coherent or conscious, I hereby grant the staff, volunteers or agents of the Archdiocese of St. Louis permission to act on my behalf in seeking emergency medical treatment for myself in the event that such medical treatment is deemed necessary.
4. I agree to accept any and all financial responsibility as a result of emergency medical treatment.
5. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to, or infected by COVID-19 by participation in the activity described on this form during the above dates. I hereby release, covenant not to sue, discharge and hold harmless the Archdiocese of St. Louis, its affiliates and its employees, volunteers and agents for any claim for injuries and damages, costs or expenses arising out of or relating to COVID-19 as a result of participation in the activity described on this form.
6. I recognize that there are risks inherent in participation in any activity and agree to hold the Archdiocese of St. Louis, its affiliates and its and their employees, volunteers and agents, harmless from any injury to myself or damage to or loss of my personal property not caused by the negligence or misconduct of the Archdiocese of St. Louis, its affiliates and its and their employees, volunteers and agents.
7. I understand that for all Youth Ministry activities there is a zero tolerance policy for the use of any mood altering chemicals (including alcohol and illegal drugs), foul language, threats or any type of abuse and inappropriate physical contact. I agree to follow this policy.
8. I hereby give permission to the Archdiocese of St. Louis to use any photographs or video footage taken of me in print and on their website for promotional purposes.