I give consent for my child(ren) named above to participate in the Totus Tuus Program.  I agree to abide by and/or instruct my child to abide by all rules and regulations as outlined by the aforementioned chaperones and/or representatives. I agree that if my child(ren) fail(s) to abide in any way by the rules, that my child(ren) can be dismissed from the event and sent home immediately at my expense with no right of reimbursement or refund for any amount in connection therewith from the Diocese of Green Bay, Mount Tabor Center or their chaperones and representatives. 

The undersigned do hereby release, forever discharge and agree to hold harmless the Office of Religious Education, Totus Tuus, the Catholic Diocese of Green Bay and Mount Tabor Center and its respective members, officers, directors and employees, agents, sponsors and promoters from and against any and all kind of liability, claims, demands, lawsuits, and expenses of any kind arising from personal injury, sickness, death or property damage of any kind whatsoever which may be incurred or suffered by the undersigned and/or the undersigned’s minor child. Clicking "I Agree" constitutes and e-signature.

This authorization form constitutes permission for my child(ren)’s participation in videotaping and/or photographs which may be taken during the program. They may be used for future promotional efforts, including Diocese of Green Bay and Mount Tabor Center publications. 

I grant permission in the event my child(ren) are injured or becomes ill for medical care to be administered to my child(ren) and to use our personal insurance to cover such incidents. I hereby give permission for an ambulance to be called if necessary and give permission to the physician selected to render medical treatment deemed necessary and appropriate by the physician.