Diocese of Ogdensburg

The Roman Catholic Church in Northern New York

DIOCESE OF OGDENSBURG ACTIVITY RELESE FORMS
PARENT AUTHORIZATION AND WAIVER OF RISK FOR TRAVEL
I hereby give my consent for my daughter/son:
First Name:(*)
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Last Name:(*)
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Email Address:(*)
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To participate in the Youth Leadership Weekend, including traveling from and to: Camp Guggenheim, 1468 County Route 18, Saranac Lake, New York. He/She will be traveling with:
Please indicate:
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I understand that neither the Diocese of Ogdensburg, the Parish, the Parish Youth Minister, the Parish Chaperone, nor the staff is liable in the event of an accident or injury to my child. I also assume full responsibility for the consequences of my child’s actions during these activities.
Waiver of Risk: I understand that, despite careful and proper preparation, there is still a risk of injury when participating in any activity. In consideration for the Diocese of Ogdensburg, the Parish, and Office of Youth Ministry, or any other participating organization, permitting my child to participate in the above activity, I agree to indemnify, defend, hold harmless and release the Diocese of Ogdensburg the Parish, and Office of Youth Ministry, or any other participating organization, and their officers, agent, representatives, employees and volunteers, against and from any and all claims, suites, losses, costs, damages, expenses, and liability arising out of any act or omission or other occurrence, whether or not caused by or resulting from this activity, the Catholic Diocese of Ogdensburg, Parish, and Youth Ministry, or any other participating organization, their agents, representatives, employees, and volunteers during the course of the activity in which he or she is participating.
Waiver of Risk(*)
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Today's Date:(*)

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Full Name of Parent or Guardian:(*)
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By typing your full name in the Full Name of Parent or Guardian field above you certify that everything in this form is true and that you understand what is being asked of you.
Verification
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Please make sure you fill out the Activity Release, Code of Conduct and General Rules, Medical & Parental Permission and Photo Release Form after you have registered and paid.