Parent Permission Form

for St. Francis of Assisi Parish

Youth Ministry Program 2007-2008

Dear Parent or Legal Guardian:

     Your son/daughter is eligible to participate in the Youth Ministry Program here at

St. Francis Parish, which may sometimes requires transportation to a location away from

the parish premises. Youth Ministry Activities will take place under the guidance and

supervision of employees and volunteers from St. Francis of Assisi Parish.

     If you would like your child to participate our Youth Ministry Program, please

complete, sign and return the following statement of consent and release of liability.

As a parent or legal guardian, you remain fully responsible for the actions and conduct

of your child.

                                                        Statement of Consent

     I hereby consent to the participation by my child,___________________________,

in the St. Francis of Assisi Parish Youth Ministry Program. I understand that some events

may take place away from Parish Grounds and that my child will be under the supervision

of St. Francis of Assisi Parish employees and volunteers.

     In consideration of my child being allowed to participate in this program, I hereby

agree on behalf of myself and my child to release St. Francis of Assisi Parish, the Roman

Catholic Diocese of Gaylord, any and all affiliated organizations, their employees, agents

and representatives, including volunteer and other drivers (collectively “Releasees”),

from any and all claims, including negligence, arising from or relating to my child’s

participation in this group.  In the event this release on the behalf of myself and/or my

child is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless

Releasees from any and all claims, including negligence, which may be asserted by me or

my child, or on behalf of my child, arising from or relating to my child’s participation in

this program. This indemnification and hold harmless agreement does not apply to claims

for intentional misconduct or gross negligence; nor does this release or indemnification

apply to the extent of commercial insurance coverage for any claim, but this Release or

Indemnification shall apply to the extent of any self-insurance or deductible applicable to

any claim.

_________________________________________            _________________

 (Print Parent Name)                                                                                   Date)

_________________________________________

 (Parent Signature)