We believe that TEC is a great experience for every adolescent and an opportunity to continue to grow in their faith life and come to understand, reflect upon, and share their ideas and ideals with other teens in a nonthreatening environment. We hope that you agree!
Please read the terms and conditions of participation carefully. Acknowledgement and your acceptance of these conditions is required by the Catholic Diocese of Peoria. You will indicate your concurrence by entering your full typed Name, which will represent your signature.
IF YOU HAVE ANY QUESTIONS OR CONCERNS, PLEASE CONTACT Tod Williamson, at 309-825-1162, or email email@example.com
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor ("participant"). In consideration for my child being allowed to participate in this activity, I hereby RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS the Bloomington/Normal TEC, the Catholic Diocese of Peoria, their employees and agents, and any volunteers assisting B/N TEC, from any and all liability for injuries, damages, medical expenses, or any other loss to my child or family or me (including attorneys' fees) arising from or related to my child's participation in this activity.
On occasion, B/N TEC may take photographs or makes audio or video tape recording of participants involved in activities. Such photographs or video records may be used by staff and participants to remember the activities or participants. In addition, such photographs and audio/visual recordings may be used by B/N TEC publications or advertising materials to let others know about B/N TEC. In addition, local news organizations may hear of our activities or event, and B/N TEC may invite or allow them to photograph or record our events to be used, distributed, or displayed as agents of B/N TEC see fit. This consent includes but is not limited to photographs, videotape, and audio recordings.
1. to provide primary and secondary emergency contacts and general medical health information, and;2. to produce a standard authorization for Emergency Medical Treatment (Attachment A)
Providing this information will make adult leaders aware of any conditions that might affect participation and identify those who may need to take medications during the TEC weekend. It may also assist the TEC Leadership or qualified medical professionals in determining the proper actions in treatment of your child if an emergency should arise.
In case of a medical emergency concerning my child, at a time when I or my listed emergency contacts cannot be reached, I grant full power to B/N TEC and/or any supervising employee to do as follows:1.) Arrange for the transportation of my child, whether by ambulance or otherwise, to a proper facility where emergency medical treatment would normally be administered, including but not limited to, an emergency room of a hospital, a doctor's office, or a medical clinic; and; 2.) Sign releases as may be required in order to obtain any medical or surgical treatment as is required in the judgment of competent medical authorities at the facility.