Confirmation Retreat Registration

I, the parent or guardian of the above named minor child, hereby give my permission for his or her participation in the youth activity named above. If transportation is necessary, I consent to such transportation based upon the parish and/or Youth Leader providing the transportation.

I understand that all reasonable supervision will be exercised to provide for the general well-being of my child. I hereby release the Diocese of Charlotte, St. Leo Church, all church staff and volunteers from any and all claims, loss, damage, expense, or liabilities arising out of or from any accident or other occurrence causing injury to any person or property during this activity, except as a result of gross negligence.

I agree to direct my child to cooperate and conform with directions and instructions of the parish or Diocesan personnel responsible for youth activities.

I am not aware of any medical condition of my child which would render it inappropriate for him or her to participate in any such activity.