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Office Staff & Board of Directors
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Athlete & Parent CYO Participation
Consent & Waiver Form
The maximum number of form submissions has been reached. This form is currently not available.
PERMISSION
I grant permission for my child,
Athlete First Name
REQUIRED
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Athlete Last Name
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to participate in sports and activities with the Catholic Youth Organization of The Roman Catholic Archdiocese of Washington (“CYO”); I certify that I have legal responsibility for my child; and I, on behalf of myself, my child named herein, my spouse, and our heirs, successors, and assigns, acknowledge and agree that as parent and/or legal guardian, I remain legally responsible for any personal actions taken by my child.
Check To Acknowledge
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I Agree
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PHOTO CONSENT & RELEASE
I hereby grant permission to the Catholic Youth Organization (CYO) and The Roman Catholic Archdiocese of Washington to use any images/videos of my child or myself, captured during regular and special CYO activities through video, photo, or digital camera, to be used solely for the purposes of CYO promotional materials, publications, and team photo galleries, and waive any rights of compensation or ownership thereto. I further agree that these images of my child or myself may be included in brochures, posters, website, social media and print media for the CYO and/or the archdiocese.
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I Agree
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ACKNOWLEDGMENT OF RISK AND RELEASE
CYO has implemented precautions to minimize risks to participants. However, I understand that participation in youth sports poses an inherent risk of injury, including due to other participants’ conduct; weather; premises and equipment; and supervision, instruction, or officiating. I understand that it is not possible to remove all risks associated with participation in youth sports. I assume the risk of all injuries, damages or loss that my child or I may sustain as a result of participation in or attendance at CYO sports.
I agree to release, hold harmless, and covenant not to sue the CYO and The Roman Catholic Archdiocese of Washington, including their officers, employees, agents, volunteers, chaperones, clergy, insurers, and representatives, and all The Roman Catholic Archdiocese of Washington parishes and schools, from any claims arising from, or in connection with, my child’s or my own attendance at and participation in CYO sports and activities, including any claims for illness, personal injury, disability, or death; any claims for any cost of medical treatment, financial loss, or expense; any claims based on the acts, errors, omissions, or negligence of the CYO or The Roman Catholic Archdiocese of Washington, including their officers, employees, agents, volunteers, chaperones, clergy, insurers, and representatives; or any other claims whatsoever.
Check To Acknowledge
REQUIRED
I Agree
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COVID-19
CYO has implemented precautions, based upon available guidance from public health agencies, to minimize risks to participants relating to COVID-19; however, I understand that the nature of this CYO activity makes it impossible to consistently ensure physical distancing of 6 feet or more or otherwise eliminate all risks to participants. I understand that my child’s or my own participation in this activity may therefore include possible exposure to infectious diseases (including, but not limited to, COVID-19) and the risk of serious illness or death.
I knowingly and freely assume all such risks and assume all responsibility for my child’s and my own participation, and I agree to release, hold harmless, and covenant not to sue the CYO and/or The Roman Catholic Archdiocese of Washington, including their officers, employees, agents, volunteers, chaperones, clergy, insurers, and representatives, and all The Roman Catholic Archdiocese of Washington parishes and schools, from any claims arising from, or in connection with exposure to or transmission of COVID-19 during CYO sports and activities. I acknowledge that I am responsible to ensure that my child and I will comply with CYO’s terms and conditions for participation in this activity and as may be updated from time to time in CYO’s discretion, including to conform with applicable governmental requirements, CDC guidance, and/or The Roman Catholic Archdiocese of Washington requirements and guidance. Noncompliance may result in my child or myself being removed from participation and prohibited from returning to the activity, with no refund being issued.
Check To Acknowledge
REQUIRED
I Agree
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Parent/Guardian First Name
REQUIRED
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Parent/Guardian Last Name
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Parish
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(Select One)
Annunciation
Ascension
Assumption
Blessed Sacrament, Shrine of the Most
Cathedral of St. Matthew the Apostle
Christ the King
Church of the Holy Spirit
Church of the Resurrection
Epiphany
Holy Angels
Holy Comforter – St. Cyprian
Holy Cross
Holy Face
Holy Family, Hillcrest Heights
Holy Family, Mitchellville
Holy Ghost
Holy Name
Holy Redeemer, College Park
Holy Redeemer, DC
Holy Redeemer, Kensington
Holy Rosary
Holy Trinity
Immaculate Conception, DC
Immaculate Conception, Mechanicsville
Immaculate Heart of Mary
Incarnation
Jesus the Divine Word
Jesus the Good Shepherd
Kidane-Mehret Ge’ez Rite Catholic Church
Little Flower, Church of the
Mary of Nazareth
Most Holy Rosary
Mother of God
Mother Seton
Mount Calvary
Nativity
Nigerian Catholic Community
Our Lady Help of Christians
Our Lady of China Pastoral Mission
Our Lady of Fatima
Our Lady of Grace
Our Lady of Lourdes
Our Lady of Mercy
Our Lady of Perpetual Help
Our Lady of Sorrows
Our Lady of the Presentation
Our Lady of the Visitation
Our Lady of the Wayside
Our Lady of Victory
Our Lady of Vietnam
Our Lady Queen of Peace
Our Lady, Queen of Poland & St. Maximilian Kolbe
Our Lady, Queen of the Americas
Our Lady, Star of the Sea
Our Lady’s Church
Sacred Heart, Bowie
Sacred Heart, Bushwood
Sacred Heart, La Plata
San Miguel
Shrine of St. Jude
Shrine of the Sacred Heart
St. Aloysius, Leonardtown
St. Ambrose
St. Andrew the Apostle
St. Andrew by the Bay
St. Andrew Kim
St. Ann
St. Anthony of Padua
St. Anthony, North Beach
St. Augustine
St. Bartholomew
St. Benedict the Moor
St. Bernadette
St. Bernard of Clairvaux
St. Bernardine of Siena
St. Camillus
St. Catherine Labouré
St. Catherine of Alexandria
St. Cecilia
St. Columba
St. Dominic, DC
St. Edward the Confessor
St. Elizabeth
St. Francis de Sales, Benedict
St. Francis de Sales, DC
St. Francis of Assisi
St. Francis Xavier, DC
St. Francis Xavier, Newtowne
St. Gabriel
St. George
St. Hugh
St. Ignatius Loyola
St. Ignatius, Chapel Point
St. Ignatius, Oxon Hill
St. James
St. Jane Frances de Chantal
St. Jerome
St. John Baptist de la Salle, Chillum
St. John Neumann, Gaithersburg
St. John the Baptist, Silver Spring
St. John the Evangelist, Clinton
St. John the Evangelist, Silver Spring
St. John Vianney
St. John, Hollywood
St. Joseph, Beltsville
St. Joseph, Largo
St. Joseph, Morganza
St. Joseph, Pomfret
St. Joseph’s on Capitol Hill
St. Louis de France
St. Luke
St. Margaret of Scotland
St. Mark the Evangelist
St. Martin of Tours, DC
St. Martin of Tours, Gaithersburg
St. Mary of the Assumption
St. Mary of the Mills
St. Mary, Barnesville
St. Mary, Bryantown
St. Mary, Landover Hills
St. Mary, Mother of God
St. Mary, Newport
St. Mary, Piscataway
St. Mary, Rockville
St. Mary, Star of the Sea
St. Matthias, Apostle
St. Michael the Archangel
St. Michael, Brandywine
St. Michael, Ridge
St. Nicholas
St. Patrick, DC
St. Patrick, Rockville
St. Paul
St. Peter Claver
St. Peter, DC
St. Peter, Olney
St. Peter, Waldorf
St. Philip the Apostle
St. Pius X
St. Raphael
St. Rose of Lima
St. Stephen, Martyr
St. Theresa Avila
St. Thomas More
St. Thomas, Apostle
St. Vincent de Paul
Washington Jesuit Academy
OTHER
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Email
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