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The Well HS Youth Ministry Parent Waiver

- Jr High & The Well High School
  - High School Youth Events
    
    Ohio March for Life - Youth Participant Release Form
    Adult Release Form - Ohio March for Life
    National Eucharistic Congress
    Diocese of Columbus Safe Environment Manual
    The Well HS Youth Ministry Parent Waiver
    The Well Youth Group Sign-In
    The Well HS Youth Ministry Parent Waiver

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- Parent/ Guardian Full Name REQUIRED Please fill out this field. Please enter valid data.
- Parent/ Guardian Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/ Guardian Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Name of High School Youth Participant(s) REQUIRED Please fill out this field. Please enter valid data.
- Phone Number(s) of High School Participant(s) REQUIRED Please fill out this field. Please enter valid data.
- Are there any medical needs or allergies your son(s) or daughter(s) have that our ministry team should be aware of? REQUIRED Please fill out this field. Please enter valid data.
- Communication:
  Thank you so much parents, for being so ready to share your sons' and daughters' contact information with our youth ministry team so that we can keep them up to date on all of the events happening throughout the year! By diocesan policy we are not permitted to text or call students one-on-one, so we use an app called GroupMe.
  
  All communication with high school youth involved with The Well High School Youth Ministry will take place through the GroupMe App or similar application, such as Flocknote, that allows our volunteers to communicate with youth in a safe and open format.
  
  If your son or daughter doesn't have a GroupMe account they should receive the messages in the form of texts and they should be able to respond via that text. However, without GroupMe account they won't be able to see pictures or vote on polls or post funny GIFs to the group message.
  
  Not already signed up for GroupMe? Here's a link to sign up https://groupme.com/en-US/ .
- By checking this box, I understand that due to diocesan policies all communications with my son(s) and/ or daughter(s) will be managed through GroupMe or a similar application.
  I Understand and Agree Please select this field.
- Photographs, digital images, and recordings:
  "A picture is worth a 1,000 words." One of the best ways to communicate how much fun it is to live life with Jesus is to share pictures and videos of our youth ministry in action.
  
  The undersigned hereby consents to the release of photographs, digital images or recordings, and name of the Participant to be used by the Diocese of Columbus and The Well High School Youth Ministry for future promotional programs of the Diocese of Columbus and the Parishes (St. Mary Chillicothe, St. Peter, and St. Mary Waverly).
  
  If you have any questions or concerns, please contact Andrea McLean at 740-774-1407.
- Parental/Guardian consent for photographs, digital images, and recordings to be used for promotion by The Well High School Youth Ministry and Diocese of Columbus. REQUIRED I give my parental/guardian consent. I do not give my parental/guardian consent. Please fill out this field.
- Release: The undersigned on behalf of the undersigned, the Participant, and the heirs, successors and assigns of the undersigned and the Participant, hereby release, hold harmless from any liability, and discharge from all direct or derivative claims, actions, causes of actions, medical expenses, costs, legal expenses, other expenses and all other damages at law or in equity, known or unknown, direct or indirect, choate or inchoate against the Diocese of Columbus, the Parish and all current and former employees, agents, clergy, officers and volunteers of the Diocese of the Parish, arising from the Participant’s participation in The Well High School Youth Ministry activities.
  Indemnification: The undersigned shall indemnify and hold harmless the Diocese of Columbus, the Parish, and all current and former employees, agents, clergy, officers and volunteers of the Diocese of Columbus or the Parish from any claim, liability, suit, judgment, loss, damage, expense, fee or cost (including court costs and attorney fees) arising directly or indirectly from the Participant’s participation in The Well High School Youth Ministry activities., unless arising from the negligence of an indemnified party.
- Signature of parent/guardian confirms agreement to liability release. REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
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Our Lady, queen of the apostles

The Catholic Community in Ross & Pike Counties

The Well HS Youth Ministry Parent Waiver