Registration Consent and Waiver Form

The Cathedral of Our Lady of Perpetual Help
3214 North Lake Avenue
Oklahoma City, Oklahoma 73118
(405) 525-2349
Fax: (405) 525-3628
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Registration Consent and Waiver Form

This Form must be completed and executed for participation in the Religious Education activities as a part of registration.

Youth Information

Child Photo

    Upload Baptism Certificate


      NEW RE students, 1st Communion, or Confirmation candidates: Please attach a copy of your Baptism Certificate


      Parent / Family Information

      PARTICIPATION PERMISSION: I, the undersigned, am custodial parent/legal guardian of Participant and request that he/she be to allowed participate in the RE/Youth programs, events and activities to be held at Our Lady’s Cathedral parish during the 2017/2018 parish year. I understand that the RE/Youth Activities consist of weekly sessions and related activities which may be held from time-to-time.

      LOST OR STOLEN ITEMS: I hereby understand and agree that neither the Archdiocese of Oklahoma City or Our Lady’s Cathedral parish during the 2017/2018 parish year nor any of their respective employees, directors, officers, agents, representatives and/or volunteers shall be held liable for any of my or my child’s personal property lost or stolen during participation in the RE/Youth Activities.

      Photo Release Form:

      I grant to Our Lady’s Cathedral, the right to take photographs of me and my family in connection with the Religious Education, Youth Activities, retreats, etc. I authorize Our Lady’s Cathedral, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Our Lady’s Cathedral may use such photographs of me with or without my name and for any lawful purpose, following the Archdiocese of Oklahoma City Safe Environment guidelines, including such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above.


      REFUSAL OF SAFE ENVIRONMENT LESSONS FOR YOUTH

      This statement is only if you do NOT want your child(ren) to participate in the Safe Environment lessons offered during October and November in the Religious Education and Confirmation classes. You will be notified of the exact dates in September. I have read the letter explaining the Archdiocesan policy regarding Safe Environment for children. I do NOT want my child(ren) to receive this training.


      Medical Information


      As a rule, medication will not be administered by RE/Youth Program staff. The exception is an RE/Youth program or activity that includes an extended day or overnight activity. If medication is required a Consent and Waiver Medication Form must be completed prior to the activity.

      CONSENT TO TREATMENT OF PARTICIPANT: I am the custodial parent or legal guardian of Participant. I hereby warrant that to the best of my knowledge, Participant is in good health and physically able to participate in the RE/Youth Activities and I assume all responsibility for the health and physical condition and ability of Participant to so participate. In the event of circumstances that indicate that Participant is in need of immediate medical care, I authorize and give permission for Participant to be transported to a hospital/clinic/medical facility for evaluation and emergency medical or surgical treatment, including any necessary X-ray examination. I authorize any licensed physician or medical center to treat Participant. I accept full responsibility for any medical or hospital bills associated with the care of Participant.

      LIABILITY WAIVER: In consideration of the arrangement set forth herein, I do on behalf of myself, Participant and our respective heirs, successors, assigns and next of kin, release, waive, hold harmless, defend and covenant NOT TO SUE, Our Lady’s Cathedral, the Archbishop of the Archdiocese of Oklahoma City, and the Archdiocese of Oklahoma City and each of their respective departments, directors, administrators, teachers, officers, agents, representatives, volunteers and employees from any and all actions, claims, demands or liabilities, including without limitation, those for personal injuries or property damage, that I and/or Participant may suffer due to illness or injury suffered by Participant as a result of, or in connection with, participation in the RE/Youth Activities, including the administration of authorized medications, medical treatment and any consequences that may arise as the result of said treatment, including without limitation, housing, meals and collateral entertainment to the fullest extent permitted by law.

      I certify to you that the information contained herein is true and correct to the best of my knowledge and that I fully understand the terms and legal consequences of my execution of this REGISTRATION CONSENT AND WAIVER FORM FOR RE/YOUTH ACTIVITIES consisting of two (2) pages.


      Address

      Cathedral OKC
      3214 North Lake Ave.
      Oklahoma City, Oklahoma 73118

      Mass Times

      Sunday 8:00 am (English)
      10:00 am (Full Choir)
      11:45 am (Vietnamese)
      Monday 7:30 am
      Tuesday 7:30 am
      Wednesday 8:30 am
      Thursday 7:30 am
      Friday 7:30 am
      Saturday

      8:30 am
      3:00 pm Confessions
      5:00 pm Vigil (English)