Name of Event: Events for Youth 12 to 16 yrs of age
Event Date: School Year 2023-2024
Host Parish and/or Family of Parishes: LaSalle River Canard Catholic Family of Parishes

School/Parish: LRC Catholic FOP
Town/City of School/Parish: LaSalle/Amherstburg
Teacher/Leader: Available at event
Contact Information: Available at event

Event Details:
For the school year of 2023-2024 there will be 6 events/projects to be planned throughout the year for youth ages 12-16. As events are planned, advertising will take place. Participants are free to choose which events they wish to take part in. Some events may take place at one of our three parishes (ST. JOSEPH, ST PAUL, or SACRED HEART) or out in the community. This primary form will be needed to be filled out BY A PARENT and sent to us prior to a youth being able to participate in any event. PHONES will be collected, put away and locked up as youth are here to engage/socialize. IF youth request their phone for an emergency it will be given back promptly. A simple sign-in will be requested for each event as youth enter. ALL YOUTH are expected to stay for the duration of an event. IF for any reason a youth needs to leave, we will need parents consent prior to the event.

Sometimes it is necessary to change the location of an event to another nearby facility, or the platform as an electronic gathering. If this becomes necessary, the Diocese of London Event Host will notify the participants and parents and/or guardians. Such notification may be facilitated by the hosting school and/or parish.

Media Release:
Photos and/or videos may be taken to be used on the Diocese of London websites or social media platforms, in printed materials, or submitted with press releases to local publications to illustrate our community for potential visitors. Reasonable efforts will be made by the Diocese of London not to identify participants by name. The Diocese of London is not responsible if participants disseminate names.

Authorization for Communication:
The Diocese of London may provide resources and communications to further develop your family’s understanding of future activities and events, delivered to the Participant’s school, home mailing address, and/or electronically. I/we consent to receiving resources and communications from the Diocese of London to any of the above-mentioned contact methods. I/we understand that I/we may withdraw this consent at any time.

Consent, Indemnification & Release of Liability:
I/we, on behalf of myself/ourselves, the Participant, my/our and the Participant’s heirs, executors, personal representatives, successors and assigns, hereby:
• Represent that I am/we are the parent(s), legal guardian(s) or other authorized person(s) or organization with authority over the Participant.
• Consent to the Participant participating in the Event, and/or possible use of photo and video.
• Confirm that I am/we are aware of the usual risks and dangers inherent in participation in the activities associated with the Event, as described in the Event Details (see page 1), and that serious injury is possible.
• Acknowledge and agree that I/we remain legally responsible for any personal action(s) taken by the Participant, and I/we fully indemnify and save harmless the Diocese of London, its Bishop, parishes, officers, directors, priests, deacons, volunteers, employees and agents, including chaperones or other representatives associated with the Event, from any claim for damages to person or property caused by the Participant.
• Forever release and fully hold harmless and shall defend the Diocese of London, its Bishop, parishes, officers, directors, priests, deacons, volunteers, employees and agents, including chaperones or other representatives associated with the Event (the “Diocese of London”), from any and all claims, causes of action and liability of every kind and character, including in connection with any loss or damage to person, property, illness or injury, or cost of medical treatment, arising from or in connection with (directly or indirectly) the Participant participating in and/or attending the Event (collectively, “Claims”) save and except for Claims arising from the gross negligence of the Diocese of London.
• I/we give my/our permission and consent that my/our child may use an online video platform to participate in the above-mentioned Event. I/we understand that my/our child will not be required to register to a video conferencing platform in order to participate, and I/we understand that these electronic sessions may be recorded for the safety of the participants, and/or Livestreamed.
• I/we confirm that during all electronic sessions I/we, or a designated adult, are responsible for supervision of the Participant. For Participants under the age of 12, I/we, or a designated adult, will be present. All persons, participants and adult leaders, will be in high-traffic areas such as the living room, study or kitchen during video conferencing, and will not be in a private area such as a bedroom or bathroom.

Authorization for Medical Treatment (when applicable):
I/we hereby warrant that to the best of my/our knowledge and belief, the Participant is in good health, and I/we assume all responsibility for the health of the Participant. I/we hereby grant my/our permission for the Diocese of London to make arrangements for medical attention for the Participant without my/our prior approval if emergency treatment is reasonably required, and confirm that I/we will be notified as quickly as possible if this authority is exercised.

*The Diocese will take reasonable care in keeping the Participant’s medical information confidential