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Child's Information
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I hereby grant permission for Mary Our Queen to contact my child, for internal or external communications until May 31,2023 via social media, email, text, and/or parish/school-approved online/virtual platforms. I understand I can request the same communications provided to my child, and that it does not have to be via the same technology (for example, if children receive a reminder via Twitter, parents can receive it in a printed form or by an email list).
I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone, also the Archdiocese and its representatives, successors,
supervisors, sponsors, organizers and participants for any injuries in connection with the program named above.
I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named studentās behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
Mary Our Queen uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.
I hereby grant permission for Mary Our Queen to use images and interviews of my child for internal or external communications.
The Archdiocese of Atlanta subscribes to VIRTUSĀ® to provide a consistent Safe Environment foundation for our children. It is the shared responsibility of parents, teachers, and catechists to give our children the awareness and tools they need to overcome anyone who intends to harm them. It is an expectation that all Catholic Schools and Faith Formation programs use the VIRTUSĀ® Lesson plan. I give my permission for my child(ren) to attend the Archdiocesan VIRTUS Program.
MM slash DD slash YYYY
I hereby grant permission for Mary Our Queen to contact my child, for internal or external communications until May 31,2023 via social media, email, text, and/or parish/school-approved online/virtual platforms. I understand I can request the same communications provided to my child, and that it does not have to be via the same technology (for example, if children receive a reminder via Twitter, parents can receive it in a printed form or by an email list).
I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone, also the Archdiocese and its representatives, successors,
supervisors, sponsors, organizers and participants for any injuries in connection with the program named above.
I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named studentās behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
Mary Our Queen uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.
I hereby grant permission for Mary Our Queen to use images and interviews of my child for internal or external communications.
The Archdiocese of Atlanta subscribes to VIRTUSĀ® to provide a consistent Safe Environment foundation for our children. It is the shared responsibility of parents, teachers, and catechists to give our children the awareness and tools they need to overcome anyone who intends to harm them. It is an expectation that all Catholic Schools and Faith Formation programs use the VIRTUSĀ® Lesson plan. I give my permission for my child(ren) to attend the Archdiocesan VIRTUS Program.
MM slash DD slash YYYY
I hereby grant permission for Mary Our Queen to contact my child, for internal or external communications until May 31,2023 via social media, email, text, and/or parish/school-approved online/virtual platforms. I understand I can request the same communications provided to my child, and that it does not have to be via the same technology (for example, if children receive a reminder via Twitter, parents can receive it in a printed form or by an email list).
I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone, also the Archdiocese and its representatives, successors,
supervisors, sponsors, organizers and participants for any injuries in connection with the program named above.
I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named studentās behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
Mary Our Queen uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.
I hereby grant permission for Mary Our Queen to use images and interviews of my child for internal or external communications.
The Archdiocese of Atlanta subscribes to VIRTUSĀ® to provide a consistent Safe Environment foundation for our children. It is the shared responsibility of parents, teachers, and catechists to give our children the awareness and tools they need to overcome anyone who intends to harm them. It is an expectation that all Catholic Schools and Faith Formation programs use the VIRTUSĀ® Lesson plan.
MM slash DD slash YYYY
I hereby grant permission for Mary Our Queen to contact my child, for internal or external communications until May 31,2023 via social media, email, text, and/or parish/school-approved online/virtual platforms. I understand I can request the same communications provided to my child, and that it does not have to be via the same technology (for example, if children receive a reminder via Twitter, parents can receive it in a printed form or by an email list).
I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone, also the Archdiocese and its representatives, successors,
supervisors, sponsors, organizers and participants for any injuries in connection with the program named above.
I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named studentās behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
Mary Our Queen uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.
I hereby grant permission for Mary Our Queen to use images and interviews of my child for internal or external communications.
The Archdiocese of Atlanta subscribes to VIRTUSĀ® to provide a consistent Safe Environment foundation for our children. It is the shared responsibility of parents, teachers, and catechists to give our children the awareness and tools they need to overcome anyone who intends to harm them. It is an expectation that all Catholic Schools and Faith Formation programs use the VIRTUSĀ® Lesson plan.
MM slash DD slash YYYY
I hereby grant permission for Mary Our Queen to contact my child, for internal or external communications until May 31,2023 via social media, email, text, and/or parish/school-approved online/virtual platforms. I understand I can request the same communications provided to my child, and that it does not have to be via the same technology (for example, if children receive a reminder via Twitter, parents can receive it in a printed form or by an email list).
I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone, also the Archdiocese and its representatives, successors,
supervisors, sponsors, organizers and participants for any injuries in connection with the program named above.
I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named studentās behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
Mary Our Queen uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.
I hereby grant permission for Mary Our Queen to use images and interviews of my child for internal or external communications.
The Archdiocese of Atlanta subscribes to VIRTUSĀ® to provide a consistent Safe Environment foundation for our children. It is the shared responsibility of parents, teachers, and catechists to give our children the awareness and tools they need to overcome anyone who intends to harm them. It is an expectation that all Catholic Schools and Faith Formation programs use the VIRTUSĀ® Lesson plan.
MM slash DD slash YYYY
I hereby grant permission for Mary Our Queen to contact my child, for internal or external communications until May 31,2023 via social media, email, text, and/or parish/school-approved online/virtual platforms. I understand I can request the same communications provided to my child, and that it does not have to be via the same technology (for example, if children receive a reminder via Twitter, parents can receive it in a printed form or by an email list).
I/We do hereby, for myself, my heirs, executors, and administrators, waive, release, absolve, indemnify and agree to hold harmless any and all adults who chaperone, also the Archdiocese and its representatives, successors,
supervisors, sponsors, organizers and participants for any injuries in connection with the program named above.
I/We also give permission to seek any emergency care should my child be involved in any accident or be injured in any way during such events named above. I/We understand that in any such instance, all attempts will be made to contact the parent/guardian. In the event that I/we cannot be contacted, I/we hereby give permission to the attending physician to hospitalize, secure treatment for, and to order injection, anesthesia, and/or surgery for my child, as named herein. I also agree that I am legally responsible for all/any personal actions taken by my child/guardianship during this event, and agree to be financially responsible for any/all damages, legal fees, and other costs incurred as a result of the actions/behavior of my child/guardianship. Furthermore, I/we agree that if the above named studentās behavior is inappropriate, unsafe and/or detrimental to the group, I will be contacted immediately to secure means of removing my child/guardianship from the event premises. I understand that any financial costs incurred as a result of my child/guardianship being sent home are my responsibility.
Mary Our Queen uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels.
I hereby grant permission for Mary Our Queen to use images and interviews of my child for internal or external communications.
The Archdiocese of Atlanta subscribes to VIRTUSĀ® to provide a consistent Safe Environment foundation for our children. It is the shared responsibility of parents, teachers, and catechists to give our children the awareness and tools they need to overcome anyone who intends to harm them. It is an expectation that all Catholic Schools and Faith Formation programs use the VIRTUSĀ® Lesson plan.
Emergency Contact
(neighbor, friend, grandparent, etc.)
Insurance Information
I have read and understand all consents for each child I wish to register.