Mission Youth - Cincinnati

Nature and Duration of Activities: Mission work including prayer, formation, and other activities with the other missionaries, and various corporal or spiritual works of mercy.
November 20th, 2021 - 12:30-3:30pm

1. Activity Supervisors:
Priests of the Legionaries of Christ, Consecrated women of Regnum Christi, Adult chaperones, college-aged volunteers.

2. Transportation:
Not Applicable. Participants are responsible for securing their own transportation to and from activities, as the company does not provide transportation.

3. Mentoring
Participants may be offered mentoring, which is intended to help young people personalize the principles of Christian living that they receive at home and in club activities. Mentoring involves a one on one conversation with an adult conducted in plain view of others. When dealing with adolescents, confidentiality will be maintained to foster openness of dialogue, but situations involving sexual abuse of a minor or threats to life or physical health will be reported to the appropriate authority and to the parents (except in those cases where the parent may be the alleged abuser).

4. Requirements
The child named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child. Parents/guardians should specify allergies and medical problems in section above.

5. Consent
I/We hereby consent to the above-named child's participation in the activities described above including mentoring and specifically request that he be allowed to participate in those activities. I/We warrant that I/We have full authority to legally consent to his/her participation in the activities described on this form, and all provisions described therein.

6. Authorization
I/we hereby authorize RC Activities, Inc to use the image and likeness of my/our child in photograph or video form whether taken by or commissioned by RC Activities, Inc in its promotional materials and for its promotional purposes associated with its non profit activities. This authorization shall extend to use of my/our child's image and likeness on the website of RC Activities Inc or its successor in operation or affiliated organization(s) upon written consent of RC Activities, Inc. I/We understand that this authorization shall survive the end of my/our child's participation in the activities referenced on this form.

7. Insurance
I/We understand that RC Activities, Inc. does not carry any health insurance relative to the activities or for any injury that may occur to the above-named child. I/We represent that the child is (a) covered by insurance through my/our own insurance carrier; or (b) that I/We am personally financially responsible for any and all medical costs incurred as a result of the child's injury.

8. Emergencies
If the above-named child requires any emergency medical treatment or procedures during the activities, I/we hereby consent to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s). For purposes of such procedures and treatments, my/our child's blood type, allergies, or other medical problems, if any, are listed above.

9. Emergency Contacts
If the above-named child requires any emergency medical treatment or procedures during the activities, I/we hereby consent to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s). For purposes of such procedures and treatments, my/our child's blood type, allergies, or other medical problems, if any, are listed above.