2019-2020 Religious Education Registration

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Participant Information

 
 
 
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Parent Information

 
 
 
 
 
 
 
 
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Media Waiver Release

Media Waiver Release: I give consent for my child to be in photos and videos used to promote the Diocese of Nashville, St. Matthew Catholic Church and School, and Catholic faith leaders. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me because of such use.
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Liability and Medical Waiver

 
 
 
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”).

I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend St. Matthew Catholic Church, its officers, directors, employees and agents, and the Diocese of Nashville, its employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of Nashville, its employees and agents and chaperones, or representative associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the parish/diocese.

MEDICAL MATTERS: I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. (Of the following statements pertaining to medical matters, sign only those that are applicable.)

Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, and you are unable to be reached, emergency contacts (listed above) will be contacted.
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Payment

Please select payment option below. If you are registering more than one child, you only need to pay one time. Simply select $0 to bypass the payment option on additional registration forms.

Children of catechists can attend at no cost. If you are a catechist in our program, select $0 to bypass payment option.

Additional donations are gladly accepted.
 
 
 
 
 
 

Description

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