Parental Consent Form & Indemnity Agreement Sample Contracts
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • April 24th, 2024
Registration form & payment are DUE Monday, June 25, 2024. Registration form may be submitted via hard copy to the Parish Office or via email to Molly Rausch, mrausch@ststephenchurch.org. Question, contact Molly Rausch. If you choose to fill out this permission slip digitally you are agreeing to the following: By typing my signature anywhere below, I acknowledge and agree this electronic or digital signature is the legally binding equivalent to my handwritten signature. My electronic or digital signature(s) here has the same validity and meaning as my handwritten signature. By typing my signature anywhere below as guardian, I acknowledge and agree to the conditions.
Standard Contracts
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • January 15th, 2024
Parent/Guardian Name: Would you be interested to serve as an adult leader at Extreme Faith Camp? ☐ Yes ☐ No Would you be willing to be a bus chaperone (to and/or from camp)? ☐ Yes ☐ No
PARENTAL CONSENT FORM & INDEMNITY AGREEMENT FOR PARTICIPANTParental Consent Form & Indemnity Agreement • October 23rd, 2018
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the ST. ELIZABETH ANN SETON, all Churches participating, and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the ST. ELIZABETH ANN SETON, all Churches participating, and the Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the ST. ELIZABETH ANN SETON, all Churches participating, and the Archdiocese in defense of such a claim/suit. Should photos or video be taken, I give my permission for the use of my child’s image and /or likeness in any promotional or other marketing activities relating to the youth ministry programs of ST. ELIZABETH ANN SETON and all Churches participating.
Parental Consent Form & Indemnity Agreement for EFC 2022 High School Leader FormParental Consent Form & Indemnity Agreement • July 27th, 2022
The following are optional activities during Extreme Faith Camp. Parents/Guardians, please initial on the “Yes” or “No” lines, to give or withhold permission, respectively, for your child to participate in following activities…
PARENTAL CONSENT FORM & INDEMNITY AGREEMENT FORParental Consent Form & Indemnity Agreement • August 23rd, 2019
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify St. Elizabeth Ann Seton Catholic Church, all Churches participating, and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against St. Elizabeth Ann Seton Catholic Church, all Churches participating, and the Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by St. Elizabeth Ann Seton Catholic Church, all Churches participating, and the Archdiocese in defense of such a claim/suit. Should photos or video be taken, I give my permission for the use of my child’s image and /or likeness in any promotional or other marketing activities relating to the youth ministry programs of St. Elizabeth Ann Seton Catholic Church and all Churches participa
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • January 15th, 2020
Estimated Time of Departure: 6:00 pm Return: 8:30 pm Mode of Transportation To & From Event: Parent drop-off Student Cost (if applicable): None
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • June 1st, 2022
Destination of event: Church of St. Joseph (Rosemount, MN) Student Cost: _$10 Individual in charge: Gabriel Leahy Begins at: 12pm Ends at: _5pm
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • September 12th, 2017
to participate in the above-named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to hold parish/school and Archdiocese harmless from any and all claims resulting in my child’s participation in this event. I further agree to indemnify St Patrick Catholic Church and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the St Patrick Catholic Church /Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above and for any harm my child incurs by reason of their participation in the above described event. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • January 15th, 2021
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • August 3rd, 2021
□ Indoor activities—participants will be required to wear masks indoors, keeping with CDC requirements for kids’ summer programs
NOVEMBER IS A TICKETED EVENT - $15 FOR A TICKET)Parental Consent Form & Indemnity Agreement • September 10th, 2019
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the Church of St. Raphael, other participating parishes, and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the Church of St. Raphael, other participating parishes, and the Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the Church of St. Raphael, other participating parishes, and the Archdiocese in defense of such a claim/suit. Should photos or video be taken, I give my permission for the use of my child’s image and /or likeness in any promotional or other marketing activities relating to the youth ministry programs of Church of St. Raphael or other participating parishes.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • May 29th, 2019
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the Church of St. Joseph and the Archdiocese of Saint Paul and Minneapolis from any claims or law suits brought against the Church of St. Joseph /Archdiocese of Saint Paul and Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • September 10th, 2017
Date of Event/Field Trip (circle correct date): September 13, 2017 | October 25, 2017 | November 29, 2017 | January 24, 2018 | February 21, 2018 | March 21, 2018 | April 18, 2018 Type of Event/Field Trip: NET High School Retreat
WINTERBLAST LOCK-INParental Consent Form & Indemnity Agreement • October 17th, 2019
Time of Departure: Friday, Dec. 13. Participants will gather at 6:30 pm in the School lower hallway for instructions. The bus will depart promptly at 7:00 pm.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • June 14th, 2022
to participate in this parish/school event that requires transportation to a location away from the parish/school site. This activity will take place under the guidance and direction of parish/school employees and/or volunteers from Church Of St. Joseph, New Hope_.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • October 2nd, 2017
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the St Patrick Catholic Church and the Archdiocese of Saint Paul and Minneapolis from any claims or law suits brought against St Patrick Catholic Church /Archdiocese of Saint Paul and Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
EXTREME FAITH CAMP- DAY CAMP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • April 22nd, 2022
Please note: All 3.5y/o -5th Grade students will attend EFC Day Camp from 9am-12pm. The 3.5y/o-Kindergarten students will attend Catechesis of the Good Shepherd (CGS) for either the first or second half of the day, with other age-appropriate activities for them to participate in for the opposite half of the day. Please select whether you want them to attend CGS for the first or second half of the day. We can only accept 48 students for CGS, so spots are limited for that younger age bracket.
Parental Consent Form & Indemnity Agreement for EFC 2022 Middle School Camper FormParental Consent Form & Indemnity Agreement • February 17th, 2022
The following are optional activities during Extreme Faith Camp. Parents/Guardians, please initial on the “Yes” or “No” lines, to give or withhold permission, respectively, for your child to participate in following activities…
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • September 21st, 2022
Destination of event: NET Center, Saint Paul MN Student Cost: $10/Family (Suggested donation) Individual in charge: Joy Carlson Estimated time of departure: 4:45pm Estimated time of return: 10:15pm Mode of transportation to & from event: Bus
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • January 22nd, 2022
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify St. John the Baptist Catholic School and the Archdiocese of Saint Paul and Minneapolis from any claims or law suits brought against the St. John the Baptist Catholic School /Archdiocese of Saint Paul and Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • September 16th, 2021
Type of event: Middle School NET Retreat Date of event: Wednesday, September 22nd 6-9:30pm Destination of event: Divine Mercy Catholic School 15 3rd Ave SW, Faribault, MN Student Cost: Free Individual in charge: Katie Opsal/Andrea Gibbs Estimated time of departure: n/a
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • October 8th, 2020
The following are optional activities during Extreme Faith Camp. Parents/Guardians, please initial on the “Yes” or “No” lines, to give or withhold permission, respectively, for your child to participate in following activities…
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • September 22nd, 2017
Home Phone Business Phone Date of Event/Field Trip November 17, 2017 Type of Field Trip Ignite Destination Church of St. Peter in North St. Paul Individual(s)/Teacher(s) in Charge: Justin Shay Estimated Time of Arrival: 6:00 P.M. Return 9:30 p.m. Mode of Transportation To & From Event: Drop off and pick up your students at Church of St. Peter Student Cost $10
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • June 22nd, 2021
to participate in the abovenamed activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the Church of St. Joseph and the Archdiocese of Saint Paul and Minneapolis from any claims or lawsuits brought against the Church of St. Joseph /Archdiocese of Saint Paul and Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENT For Day TripsParental Consent Form & Indemnity Agreement • June 20th, 2024
Type of event: Pilgrimage to Shrine of Our Lady of Guadalupe Day Trip Date of event: July 13, 2024 Destination of event: _Shrine of Our Lady of Guadalupe, LaCrosse, WI Student Cost: Free Student T-Shirt size: _NA Individual in charge: Elizabeth Schriever Estimated time of departure: 7:00 am Estimated time of return: 5:00 pm
PARENTAL CONSENT FORM & INDEMNITY AGREEMENT FOR PARTICIPANTParental Consent Form & Indemnity Agreement • October 17th, 2018
Time of Departure: Friday, Dec. 14. Participants will gather at 6:30 pm in the School lower hallway for instructions. The bus will depart promptly at 7:00 pm.
CHILLFEST LOCK IN 2015 ST. RICHARD’S PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • December 30th, 2014
to participate in the above-named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the Church of St. Richard (dba Saint Richard’s Catholic Church) and/or the Archdiocese of St. Paul & Minneapolis from any claim or lawsuits brought against the Church of St. Richard and/or the Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees and/or expenses incurred by the Church of St. Richard and/or the Archdioceses of St. Paul & Minneapolis in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • September 11th, 2013
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child's participation, I agree to indemnify the parish/school and the Archdiocese of St. Paul & Minneapolis from any claims or law suits brought against the parish/school/Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney's fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • May 21st, 2024
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify St. John the Baptist Catholic School and the Archdiocese of Saint Paul and Minneapolis from any claims or law suits brought against the St. John the Baptist Catholic School /Archdiocese of Saint Paul and Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • November 5th, 2019
Destination: St. Vincent de Paul Catholic Church, 9100 93rd Ave N, Brooklyn Park, MN 55445 Maple Grove Community Center, 12951 Weaver Lake Rd, Maple Grove, MN 55369
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • February 28th, 2024
Estimated time of return: 11:30 a.m. Mode of transportation to & from event: Transportation to and from the Holy Redeemer School must be provided by the family and is not organized by Holy Redeemer’s Faith Formation Program.
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • May 2nd, 2022
Type of event: Pilgrimage to Our Lady of Guadalupe Shrine Date of event: June 27th Destination of event: Our Lady of Guadalupe Shrine, 5250 Justin Rd, La Crosse, WI 54601 _
PARENTAL CONSENT FORM & INDEMNITY AGREEMENT DUE WITH PAYMENT BY OCTOBER 7, 2014Parental Consent Form & Indemnity Agreement • September 16th, 2014
to participate in the above-named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the Church of St. Richard and/or the Archdiocese of St. Paul & Minneapolis from any claim or lawsuits brought against the Church of St. Richard and/or the Archdiocese of St. Paul & Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees and/or expenses incurred by the Church of St. Richard and/or the Archdioceses of St. Paul & Minneapolis in defense of such a claim/suit.
PARENTAL CONSENT FORM & INDEMNITY AGREEMENTParental Consent Form & Indemnity Agreement • July 14th, 2023
FIELD TRIP PARENTAL CONSENT FORM & INDEMNITY AGREEMENT For Day TripsParental Consent Form & Indemnity Agreement • August 19th, 2024
Type of event: Pilgrimage to Shrine of Our Lady of Guadalupe Day Trip Date of event: October 12, 2024 Destination of event: _Shrine of Our Lady of Guadalupe, LaCrosse, WI Student Cost: Free Student T-Shirt size: _NA Individual in charge: Elizabeth Schriever Estimated time of departure: 7:30 am Estimated time of return: _ 5:30 pm
