Info given for child or parents may be provided to staff and cleared adult volunteers for ministry communications.
School District
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Select Option
Allen ISD
Frisco ISD
Plano ISD
McKinney ISD
Lovejoy ISD
Other
Race/Ethnicity
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Caucasian/White, non-hispanic
African American/Black
Hispanic
Asian/Pacific Islander
Other
Prefer not to answer
P1 Race/Ethnicity
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Select Option
Caucasian/White, non-hispanic
African American/Black
Hispanic
Asian/Pacific Islander
Other
Prefer not to answer
Parent/Guardian 1 Volunteer
Pre-K and Kindergarten sessions are facilitated by a catechist. We need Safe Environment cleared adults to serve as lead catechists, assistant catechists, hall monitors, and occasional substitutes. Please consider serving in one of these capacities.
Parent/Guardian 2 or other Emergency Contact
P2 Race/Ethnicity
Select Option
Caucasian/White, non-hispanic
African American/Black
Hispanic
Asian/Pacific Islander
Other
Prefer not to answer
Parent/Guardian 2 Volunteer
Pre-K and Kindergarten sessions are facilitated by a catechist. We need Safe Environment cleared adults to serve as lead catechists, catechist aides, hall monitors and occasional substitutes. Please consider serving in one of these capacities.
Consent to Participate and Liability Release
I / We, the parent(s)/guardian(s)/conservator(s) of the child listed on this form grant permission for my son/daughter to participate in all youth activities and functions. I understand that as parent/guardian/conservator, I remain legally responsible for any personal actions taken by my son/daughter. I/ We recognize the inherent risk associated with the various youth activities that my son/daughter will be participating in. I/ We agree on behalf of myself, my son/daughter named herein, my heirs, successors, and assigns to indemnify, defend, and hold harmless Our Lady of Angels Parish and the Roman Catholic Diocese of Dallas, their employees and/or volunteers from any and all claims (unless due to the Sole or Gross NEGLIGENCE of the Parish) for illness, injury, death, and the cost of medical treatment therewith, arising from or in any way connected with my son/daughter participating and/or attending the various youth programs and activities during this formation year noted above. In the event any legal action is taken by either party against the other party to enforce any of the terms and conditions of this release, it is agreed that the unsuccessful party to such action shall pay to the prevailing party therein all reasonable court costs, reasonable attorneys’ fees and expenses incurred by the prevailing party.
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Please select all that apply.
Authorization of Consent to Treat a Minor
I/We, are the parent(s) &/or guardians of the child listed above, a minor, and as such do hereby authorize Our Lady of Angels, its youth ministry leaders, employees, contractors and volunteers as agent(s) for the undersigned to consent to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or specific supervision of any physician or surgeon licensed under the laws of the jurisdiction where such diagnosis or treatment may be given, whether such diagnosis or treatment is rendered at the office of said physician, at a hospital, or at any other location. It is understood that this authorization is given in advance of any specific treatment or diagnosis, but is given to provide authority and power of treatment, or hospital care which the aforementioned physician in the exercise of best judgment may deem advisable. This authorization is given pursuant to the provisions of Chapter 32 of the Texas Family Code. This authorization shall remain effective throughout the specific event dates listed on this form. In consideration of acceptance of this authorization, but without any time limitation and without any future right of revocation, I/we hereby release, defend and hold harmless the Parish and Roman Catholic Diocese of Dallas (Diocese), their officers, directors, agents, employees, volunteers, youth ministry leaders, and contractors from all claims, liabilities and loss in any way arising out of or in connection with or relating to such treatment and treatment decisions.
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Please select all that apply.
Media Consent & Social Media Communications
On occasion, video recordings, audio recordings, photographic slides, and photographs are taken of children and youth during church and diocesan sponsored activities. These are utilized in newsletters, websites, event promotion, advertisements and other printed media. As the State of Texas does not prevent audio or video recording or the photographing of children/youth for good and valuable consideration, I hereby grant to Our Lady of Angels Catholic Church the irrevocable and unrestricted right to make, use and/or publish any and all photographs, videos, and other images of me/my minor child or images in which Student may be included, now existing or hereafter made, in any case, with or without identifying Student for editorial, advertising, news, or any other purpose and in any manner and medium; to alter the same without restriction; and to copyright the same. On behalf of myself and/or my child, I specifically waive all rights to privacy and confidentiality with respect to name, likeness, voice, photographs, images, video recordings, audio recordings and identifying information. I hereby release and agree to fully and unconditionally protect, indemnify, and defend Our Lady of Angels, the Roman Catholic Diocese of Dallas, and their respective officers, agents, and employees, (collectively, “Indemnitees”) and hold each Indemnitee harmless from and against any and all costs, expenses, attorney’s fees, claims damages, demands, suits, judgments, losses, or liability for injuries to property, injuries to persons (including Student) and from any other costs, expenses, attorney fees, claims, suits judgments, losses, or liabilities of any and every nature whatsoever arising in any manner, directly or indirectly, out of, in connection with, in the course of, or incidental to the use or publication of any photographs, videos, or other images of Student, REGARDLESS OF CAUSE OR OF THE JOINT, COMPARATIVE, OR CONCURRENT NEGLIGENCE OF THE INDEMNITEES. If you wish to opt out the participating child or discuss any part of this media release, please email Christina Roncal at croncal@ourladyofangels.com.
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Please select all that apply.
Civil Authority Acknowledgement
Electronic Signature for Agreements
Payment & Donation Information
Our goal is to Form Strong Catholic Families . We aim to provide quality faith formation and whole family opportunities. For the annual registration, a fee of $95 per child/teen (pre-K through 12th grade) with a maximum of $285 per family is requested. However, we will always provide full and partial scholarships, as well as payment plans, to families with financial hardships. (The individual fee is prorated when more than four child participants register from the same family household).
