Administration, Health and Safety Consent Form -2022

Administration, Health and Safety Consent Form

Name of the Student:

GRADE:
--Jesus-Kids010203040506070809101112

I/ We, hereby declare that the choice to send my son/ daughter to the Catechism School of ST. JOSEPH SYRO-MALABAR CATHOLIC PARISH MONTRÉAL under the Department of Catechesis, Eparchy of Mississauga is made by me/ us willingly and consciously and was not forced by anyone.

• I/ We, hereby acknowledge that the Catechism School is a part of faith formation/ Catholic teaching initiatives of the Catholic Church for its faithful community, and it is not a venue to exercise any activities that are not acknowledged/ accepted/ recommended by the Catholic Church and its doctrine.

• I/ We understand that, by participating in the Catechetical program, my/ our child, and I/ we (the parent(s)) are expected to follow the Catechism School procedures and conduct, reflective of Catholic values.

• I/ We hereby acknowledge that all Catechists, Youth Associates, and staff in the Catechism School are volunteers and do not take any financial/ other material benefit for their services.

• I/ We, hereby acknowledge that catechism classes, seminars and activities may be delivered in-person or through virtual platforms at the Parish, Forane and Eparchial levels.

• I/ We hereby acknowledge that authorized/designated personnel from the Catechism School, the Parish, Forane and the Eparchy will use the online and virtual platforms to communicate with my child and me/ us about catechetical or related programs associated with children in the Parish, Forane and Eparchy.

• I/ We, hereby acknowledge that when my child is in the catechism class, it is the responsibility of the assigned class teacher to take care of him/ her and I/ we/ our designate (who are identified or consented by the parents) will be notified of any health and safety risk identified by the class teacher.

• I/ We understand and hereby agree that it is my/ our responsibility to look after my child after the scheduled class hours/ Holy Qurbana/ any scheduled catechism related activity time. I/ we hereby agree that, if my child needs to be out of the classroom/ Holy Qurbana/ any scheduled catechism activity time earlier than the scheduled time, I/ we will inform the assigned class teacher in advance and I/ we/ or a designated adult will accompany the child (if the child under the age of 12) out of the classroom or designated areas.

• I/ We acknowledge that the choice to participate in some programs brings with the individual the ASSUMPTION OF RISK and that it is my right to obtain as much information as I require, about any program or activity organized by the Catechism School and the associated risks and hazards, including information beyond that is provided to me by the Catechism School.

• I/ We acknowledge that it is my responsibility to advise the designated class teacher, of any medical and/ or health concerns of my child that may affect his/ her participation in the stated program or activity.

• I/ We understand that, in case of emergency medical or hospital services required for my/our child, Catechism School representatives would make every reasonable effort to contact the undersigned or our designate (who are identified or consented by the Parents). In addition, my/ our signature on this form authorizes the Catechism School representative/ designate to secure required medical advice and services as they deem necessary for my child’s health and safety, and that I shall be financially responsible for such advice and services.

• I/ We acknowledge that zero tolerance is the policy of the Parish and Eparchy to ensure my child's safety. In case of any concerns, I/we will inform the designated authorities of the Parish.

• In case of any possible conflicts/concerns I/ we have with the catechism functionaries, I/ we will address it in a respectful and appropriate manner, and I/ we are free to contact the Parish Priest, Catechism School Principal, or an authorized/ designated person to deal with such concerns.

I/We hereby declare that I/ we am/are the parent(s) or guardian(s) of the child named above. I have read and understood the information provided on this form in its entirety and hereby consent to participate being aware of all the foregoing.

Name of the Parent(s)/Guardian(s)

Signature(s)