I, the undersigned, request permission for myself/my child to attend this event to be held at the location specified. I understand this event will take place under the guidance and supervision of responsible employees/volunteers from the Good Shepherd Parish and if needed, give permission for myself/my child to be evaluated, diagnosed, treated/medicated in accordance with standard medical practice by licensed medical personnel. I relieve the Diocese of all responsibility and consequences that may arise because of this treatment. I will not hold the Diocese, chaperones, or representatives associated with this event responsible in the event of injury. If I cannot be reached in case of an emergency I give permission for the parish group leader to act on my behalf. Further, I agree to accept any and all financial responsibility because of scheduling such care. I/my child agrees to abide by all the rules as outlined in the Code of Behavior/Ethics. The Diocese will not be liable if myself/my child fails to cooperate with said rules and any infractions may result in immediate dismissal from this event. I will accept responsibility for costs for immediate transportation home. I understand that I am legally responsible for the behavior of myself/my child. By initialing below, I hereby grant to the Good Shepherd Parish my consent without reservation to use, assign, convey, reproduce, copyright, publish or sell my/my child’s name, voice, image, and/or likeness that arises from my/his/her participation in this event, whether still or motion pictures, audio or video tape, for promotional, instructional, business or any other lawful purposes, at the Good Shepherd Parish’s sole discretion.