PAYMENT INFORMATION: The fees for Faith Formation offset the cost of supplies, materials, and subscriptions. However, no youth will be denied instruction for financial reasons. The fee is $75.00 per program.

PARENT/GUARDIAN INFORMATION

Parent Guardian #1

Parent Guardian #2 Optional

Parent Consent
In consideration for Participant, a minor child, being permitted by Sponsor to participate in the Activity, I, being the undersigned and the parent/legal guardian of Participant, at this moment acknowledge, consent, and agree as follows:

1. Consent to Participate. I, at this moment, consent to Participant’s participation in the Activity. 2. Knowledge of Risks. I acknowledge and agree that the Sponsor has advised me and that I understand that participation by Participant in the Activity may involve serious risks, including, without limitation, death, bodily injury, damage to personal property, and dangers resulting from injury or accident. Knowing the risks, dangers, and hazards involved in Participant’s participation in the Activity, I voluntarily consent and agree to Participant’s participation. I, INDIVIDUALLY AND IN MY CAPACITY AS THE PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, AT THIS MOMENT, EXPRESSLY AND SPECIFICALLY ASSUME FULL RESPONSIBILITY FOR ANY AND ALL RISKS OF DEATH OR BODILY INJURY TO THE PARTICIPANT OR DAMAGE TO THE PARTICIPANT’S PERSONAL PROPERTY RESULTING FROM OR ARISING OUT OF (I) PARTICIPANT’S PARTICIPATION IN THE ACTIVITY, WHETHER CAUSED BY OR CONTRIBUTED BY THE NEGLIGENCE OF THE SPONSOR, THE ARCHDIOCESE OF SAN ANTONIO (THE “ARCHDIOCESE”), OR ANY OF THEIR RESPECTIVE AFFILIATES, DIRECTORS, OFFICERS, AGENTS, EMPLOYEES, VOLUNTEERS, SUCCESSORS AND ASSIGNS (COLLECTIVELY, THE “CHURCH PARTIES”) OR OTHERWISE.

2. RELEASE AND WAIVER. I, INDIVIDUALLY AND IN MY CAPACITY AS THE PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, AT THIS MOMENT RELEASE, WAIVE, AND FOREVER DISCHARGE THE CHURCH PARTIES FROM ANY AND ALL LIABILITY, CLAIMS, LOSSES, JUDGMENTS, DAMAGES, COSTS, EXPENSES, AND DEMANDS OF ANY KIND OR NATURE WHATSOEVER, EITHER IN LAW OR IN EQUITY, RESULTING OR ARISING FROM PARTICIPANT’S PARTICIPATION IN OR SPONSOR’S TRANSPORTATION OF PARTICIPANT TO THE ACTIVITY. I, INDIVIDUALLY AND IN MY CAPACITY AS THE PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, AT THIS MOMENT EXPRESSLY ACKNOWLEDGE AND AGREE THAT (I) THIS RELEASE DISCHARGES ALL OF THE CHURCH PARTIES FROM ANY AND ALL LIABILITY THAT THE PARTICIPANT AND I, INDIVIDUALLY AND IN MY CAPACITY AS THE PARENT/LEGAL GUARDIAN OF PARTICIPANT, MAY HAVE AGAINST THE CHURCH PARTIES CONCERNING THE DEATH OR BODILY INJURY TO PARTICIPANT OR DAMAGE TO PARTICIPANT’S PERSONAL PROPERTY THAT MAY RESULT FROM (I) PARTICIPANT’S PARTICIPATION IN THE ACTIVITY, OR (II) SPONSOR’S TRANSPORTATION OF PARTICIPANT TO THE ACTIVITY; AND (II) THIS RELEASE EXTENDS TO ALL ACTS OF NEGLIGENCE, WHETHER CAUSED BY OR CONTRIBUTED BY ANY OF THE CHURCH PARTIES OR OTHERWISE.

3. INDEMNITY. I, INDIVIDUALLY AND IN MY CAPACITY AS PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, UNCONDITIONALLY AGREE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS THE CHURCH PARTIES FROM ANY AND ALL LIABILITY, CLAIMS, LOSSES, JUDGMENTS, DAMAGES, DEMANDS, COSTS, AND EXPENSES OF ANY KIND OR NATURE WHATSOEVER, EITHER IN LAW OR IN EQUITY, (INCLUDING, WITHOUT LIMITATION, COURT COSTS AND ATTORNEY’S FEES) INCURRED BY ANY OF THE CHURCH PARTIES RESULTING OR ARISING FROM (I) PARTICIPANT’S PARTICIPATION IN THE ACTIVITY, OR (II) SPONSOR’S TRANSPORTATION OF PARTICIPANT TO THE ACTIVITY, INCLUDING, WITHOUT LIMITATION, THE DEATH OR BODILY INJURY TO PARTICIPANT OR DAMAGE TO PARTICIPANT’S PERSONAL PROPERTY THAT MAY RESULT FROM (I) PARTICIPANT’S PARTICIPATION IN THE ACTIVITY, OR (II) SPONSOR’S TRANSPORTATION OF PARTICIPANT TO THE ACTIVITY, WHETHER CAUSED BY OR CONTRIBUTED BY THE NEGLIGENCE OF ANY OF THE CHURCH PARTIES OR OTHERWISE.

4. Medical Authorization. In the event of any injury or illness of Participant during the Activity, I at this moment authorize and consent to the transportation of Participant to the nearest medical or dental facility, and, should the need arise, I at this moment further authorize and consent to any x-ray, examination, anesthetic, medical or surgical diagnosis and treatment in the discretion of the attending physician or dentist. I understand that I am giving this authorization in advance of any specific diagnosis, treatment, or hospital care being required, and I am providing this authorization to give authority and power to render any care that the medical provider and/or dental provider deems advisable. None of the preceding medical or dental treatments shall be withheld if I cannot be reached before administering such medical and/or dental treatments. I now agree that I shall be solely responsible for paying any and all costs for such medical and/or dental treatment of the Participant. In no event shall any Church Parties be required to pay for such costs or expenses. I, INDIVIDUALLY AND IN MY CAPACITY AS THE PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, AT THIS MOMENT RELEASE, WAIVE, AND FOREVER DISCHARGE THE CHURCH PARTIES FROM ANY AND ALL LIABILITY, CLAIMS, LOSSES, JUDGMENTS, DAMAGES, COSTS, EXPENSES, AND DEMANDS OF ANY KIND OR NATURE WHATSOEVER, EITHER IN LAW OR IN EQUITY, RESULTING OR ARISING FROM ANY SUCH MEDICAL OR DENTAL TREATMENT RENDERED TO PARTICIPANT.

5. Photo/Video Consent and Release. I, at this moment, authorize the Sponsor and the Archdiocese to take photographs, recordings, and/or videos (whether electronic, digital or otherwise) of the Participant in connection with the Activity. I, at this moment, consent to the use, reproduction, and publication of such images by Sponsor and the archdiocese in connection with the promotion and publicity of Sponsor’s activities and the Archdiocese, including, without limitation, publication of such images on Sponsor’s website. I, individually and in my capacity as a parent/legal guardian of Participant, now waive any right to inspect or approve the actual use by Sponsor or the Archdiocese of any such image of Participant. Such images of Participant shall be the sole property of Sponsor, and I, individually and in my capacity as a parent/legal guardian of Participant, acknowledge and agree that neither Participant nor I shall be entitled to any compensation whatsoever should any such images of Participant be used by Sponsor or the Archdiocese.

6. COVENANT NOT TO SUE. I, AT THIS MOMENT, ACKNOWLEDGE AND AGREE THAT I, INDIVIDUALLY OR IN MY CAPACITY AS PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, WILL NOT INSTITUTE ANY SUIT OR ACTION AT LAW, OR OTHERWISE, AGAINST ANY OF THE CHURCH PARTIES OR INITIATE OR ASSIST IN THE PROSECUTION OF ANY CLAIM FOR DAMAGES, OR CAUSES OF ACTION, WHICH I, INDIVIDUALLY AND/OR IN MY CAPACITY AS PARENT/LEGAL GUARDIAN OF PARTICIPANT, MAY HAVE BECAUSE OF INJURY OR DEATH TO PARTICIPANT OR DAMAGE TO PARTICIPANT’S PERSONAL PROPERTY RESULTING OR ARISING FROM PARTICIPANT’S PARTICIPATION IN THE ACTIVITY OR SPONSOR’S TRANSPORTATION OF PARTICIPANT TO THE ACTIVITY.

7. Severability. Suppose any term, covenant, or condition of this Parental/Guardian Permission, Release, and Waiver of Liability (the “Agreement”) is, to any extent, invalid, illegal, or unenforceable. In that case, I now agree that the remainder of this Agreement shall not be affected thereby and shall remain to bind, valid, and enforceable to the fullest extent permitted by law. I COVENANT, CERTIFY AND REPRESENT TO THE SPONSOR. I AM THE PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, AND THAT I HAVE FULL LEGAL AUTHORITY TO ENTER INTO THIS AGREEMENT ON BEHALF OF THE PARTICIPANT. I HAVE (I) FULLY READ THIS AGREEMENT, (II) FULLY UNDERSTAND ITS TERMS, AND (III) AGREE TO BE BOUND BY ALL OF THE TERMS AND CONDITIONS CONTAINED HEREIN. I UNDERSTAND I, ON MY OWN BEHALF AND ON BEHALF OF THE PARTICIPANT, HAVE GIVEN UP SUBSTANTIAL LEGAL RIGHTS BY SIGNING THIS AGREEMENT. I, INDIVIDUALLY AND IN MY CAPACITY AS PARENT/LEGAL GUARDIAN OF THE PARTICIPANT, SIGNED THIS AGREEMENT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME BY ANY OF THE CHURCH PARTIES. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE BY ME AND THE PARTICIPANT OF ALL LIABILITY AGAINST THE CHURCH PARTIES TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW.

Promotional Release Form

I consent to the use by St. Jose Sanchez del Rio Catholic Church and the Archdiocese of San Antonio of any videotapes, photographs, slides, audiotapes, or any other visual or audio reproduction in which my minor child or I may appear. I understand that these materials are being used to promote the elementary ministry of St. Jose Sanchez del Rio Catholic Church and the Archdiocese of San Antonio. Such promotional activities extend to recruitment, fundraising, advocacy, etc.

I have read and understood the above parent consent section.

I verify that all of the information on this form is correct and that all of the electronic initials and signatures are mine. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility. Parent/Guardian Name*(required) Today's Date

Parent/Guardian Signature*(required)

Once having clicked the above “Submit” button, be sure to click the “Make Payment” button Below to complete your child’s full registration.