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Holy Week Mission 2019 
Boys will have impactful experiences of living the Holy
Week liturgies as well as have the opportunity to spread the love
of God in a mission. They will engage in homeless missions,
faith surveys, street evangelization and more.
Register up to 3 participants

Total: $0.00
Future Commitment: $0.00
Participant Information
Permission to Participate in Club Activities,
RC Activities Inc.
    April 18-20
  2. ACTIVITY SUPERVISORS:Fr. Andrew Gronotte, Deacon Mariano
    Ballestrem, Br. Stephen Cho, Br. Gregory Metz, as well as several
    college-age full time missionaries with the Regnum Christi Mission
  3. TRANSPORTATION: Not Applicable. Participants are responsible for
    securing their own transportation to and from activities, as the
    company does not provide transportation.
  4. MENTORING:Participants may be offered mentoring, which is
    intended to help young people personalize the principles of Christian
    living that they receive at home and in club activities. Mentoring
    involves a one-on-one conversation with an adult conducted in plain
    view of others. When dealing with adolescents, confidentiality will be
    maintained to foster openness of dialogue, but situations involving
    sexual abuse of a minor or threats to life or physical health will be
    reported to the appropriate authority and to the parents (except in
    those cases where the parent may be the alleged abuser).
  5. REQUIREMENTS: The child named above is in good health and has no
    physical or medical limitations that would cause the activities as
    described above to be detrimental or dangerous to the child.
    Parents/guardians should specify allergies and medical problems in
    section 10 below.
  6. CONSENT:I/We hereby consent to the above-named child's
    participation in the activities described above including mentoring,
    and specifically request that he be allowed to participate in those
    activities. I/We warrant that I/We have full authority to legally
    consent to her participation in the activities described on this form,
    and all provisions contained herein.
  7. AUTHORIZATION: I/We hereby authorize RC Activities, Inc. to use
    the image and likeness of my/our child in photograph or video form
    whether taken by or commissioned by RC Activities, Inc. in its
    promotional materials and for its promotional purposes associated with
    its nonprofit activities. This authorization shall extend to use of my/our
    child’s image and likeness on the website of RC Activities, Inc., or its
    successor in operation or affiliated organization(s) upon written
    consent of RC Activities, Inc. I/We understand that this authorization
    shall survive the end of my/our
    child’s participation in the activities
    referenced on this form.
  8. INSURANCE: : I/We understand that RC Activities, Inc. does not carry
    any health insurance relative to the activities or for any injury that
    may occur to the above-named child. I/We represent that the child is
    (a) covered by insurance through my/our own insurance carrier; or (b)
    that I/We am/are personally financially responsible for any and all
    medical costs incurred as a result of the child's injury.
  9. EMERGENCIES:If the above-named child requires any emergency
    medical procedures or treatments during the activities, I/We consent
    to the activity supervisor(s) taking, arranging for or consenting to such
    procedures or treatments in the discretion of the activity supervisor(s).
    For purposes of such procedures and treatments, my/our child's blood
    type allergies or other medical problems (if any) are listed.
  10. TEXT MESSAGING AND/OR EMAIL:I give permission for Event
    Supervisor(s) and Club Leader(s) to communicate with my child using
    text messaging and/or email regarding the details of the Activity /
    Program (Only participants 15 years old and older).
  11. RELEASE AND INDEMNIFICATION:I/We release and waive, and
    further agree to indemnify, hold harmless or reimburse RC Activities,
    Inc. and Consolidated Catholic Administrative Services, Inc., the
    individual members, agents, directors, officers, employees, volunteers
    and representatives thereof, as well as activity supervisors, from and
    against, any claim which I, any other parent or guardian, any sibling,
    the above-named child, or any other person, firm or corporation may
    have or claim to have, known or unknown, directly or indirectly, for
    any losses (including attorneys’ fees incurred by RC Activities, Inc. and
    Consolidated Catholic Administrative Services, Inc., or any of its
    individual employees, agents, volunteers, etc. in enforcing this
    indemnity provision) without limitation in time or amount, damages
    or injuries arising out of, during, or in connection with my/our child's
    participation in the activities, the travel to and there from, and the
    rendering of emergency medical procedures or treatment, if any. I/We
    understand that this release and indemnification shall survive the end
    of my/our child’s participation in the activities referenced on this form
    and shall have no limitation in time or amount.
I have read and understand the above
permission form in its entirety, and also
understand that it is a legal document
and I agree and consent to all terms and
conditions contained within.

By typing my full name in the box below,
I agree and consider this as my electronic
signature which is valid in a court of law.

I would like to be copied on all emails and text messages to my child.
I do not wish to have my child contacted.
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