LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME!

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1 LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME! WHAT IS THE YOUTH DAY? It is with great joy that we invite you to register for Youth Day 2015 the largest event of its kind in the world! At Youth Day, there are many opportunities to celebrate and witness the richness of our Catholic faith, to share our stories and to experience God s love and each other. For more information visit and Facebook: LAYouthDay Vine: #LAYouthDay Instagram: #LAYouthDay WHO MAY ATTEND? Youth Day is open to students from public and Catholic schools who are in grade 9 through 12. WHEN IS THE TRIP? Departure: Wednesday, March 11, at 3:30 pm at OLS Church Parking lot Return: Saturday, March 14 approximately at midnight at Our Lady of the Snows Church Parking lot TRANSPORTATION. Teens/adult participants will be on a chartered bus HOTEL ACCOMODATION. We have reserved 5 suites to accommodate 2 girls suites and 2 boys suites. Each suite accommodates 6. The WorldMark Hotel is at 201 West Katella Avenue Anaheim, CA 92802, 2 blocks from the Convention Center and across the street from Disney. WHAT DOES YOUTH DAY COST? Registration to attend Youth Day is $300 only with teen s full participation in Snows LA Congress Fundraising. If participants do wish to participate in the fundraising program the complete cost for the trip is $450 (Transportation $170, Hotel $100, Disneyland Park Hopper Ticket $150 and Conference Registration $30) REGISTRATION DEADLINE. Our Lady of Snows has limited seats to 20 teens. Once Snows Youth Day registration fills to capacity, it is CLOSED to further registrations. Please note we anticipate that seats will be taken before the registration fee is due on Monday, January 12, MANDATORY TEENS/ADULT PARTICIPANT MEETING. On Wednesday, January 14 at 5:30 pm at the Parish Office Basement, we have a mandatory meeting. At our meeting, each participant will learn about the fundraising program, hotel accommodation, logistics, meals, budget, and more! ADULT OPPORTUNITIES Adult Volunteers Youth Ministry invites adult from Snows parish or school to be a volunteer for the event. Youth Day volunteers are assigned to a variety of positions throughout the day. This is a great way to experience Youth Day and assisting to be an adult chaperone and to enjoy a day at Disneyland. To volunteer for Youth Day 2015, an adult needs to have been have taken the Awareness Session Protecting God s Children, Finger Printed thru the diocese and submitted a background check form in accordance with their Diocesan of Reno Protection God s Children requirements. For more information about volunteering or to submit your name to be part of our team, please contact Gigi Grapé at ym@olsparish.com at (775) Come join the fun, we need you!

2 PARENTAL/GUARDIAN CONSENT FORM AND LIABILITY WAIVER Child s Name: Grade: Birth Date: Sex: Male Female Parent/Guardian s names: Home Address: City: State: Zip: Home Phone: Mom s Cell: Dad s Cell: We hereby grant permission for our child,, to participate in youth ministry programs/events of the above named Parish under the guidance and direction of employees and/or volunteers from the Parish. As parents and/or legal guardians, we remain legally responsible for any actions taken by the above named minor. MEDICAL MATTERS We hereby warrant that to the best of our knowledge, our child is in good health, and we assume all responsibility for the health of our child, including responsibility for all hospital, emergency or doctor bills that may be incurred by our child. Of the following statements pertaining to medical matters, check 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, if you are unable to reach me at the above numbers, contact: Name & relationship: Phone: Family Doctor: Phone: Family Health Plan: Policy #: Other Medical Treatment: In the event it comes to the attention of the Parish, its officers, directors, employees, agents, volunteers or representatives, or the Diocese of Reno, its employees, agents and volunteers, that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, or allergic reactions, I want to be called. Medications: My child is taking medication at present. My child will bring all medications necessary and such medications will be well-labeled. Names of medications and concise directions for seeing that my child takes such medication, including dosage and frequency of dosage, are as follows: Subsequent Changes listed here [note year(s) ] Medicine changes continued:

3 No medication of any type, whether prescription or non-prescription, may be administered to my child unless the situation is life threatening and emergency treatment is required. I hereby grant permission for non-prescription medication (such as aspirin, throat lozenges, cough syrup) to be given to my child, if deemed appropriate. Specific Medical Information: The Parish will take reasonable care to see that the following information will be held in confidence. Allergic reaction (medications, food, plants, insects, etc.): Immunizations: Date of last tetanus/diphtheria immunization: Does the child have a medically prescribed diet or is he or she vegetarian/vegan? If yes, explain: Any physical limitations? Is the child subject to chronic homesickness, emotional reactions to new situations, sleepwalking, fainting or the like? Has the child recently been exposed to contagious diseases or conditions, such as mumps, measles, chicken pox, etc.? If so, date and disease or condition: You should be aware of these medical conditions of my child: LIABILITY WAIVER I grant permission for my child to participate in the above referenced parish youth ministry programs/events, including transportation to and from any activities or events held off site; and in consideration of my child being allowed to participate in the same, on behalf of myself and my child and his or her heirs, assigns and legal representatives, I hereby indemnify, defend, protect, hold harmless, waive, release and discharge the Parish and its affiliate organizations, including the Diocese of Reno, their employees, volunteers, agents, officers and directors (collectively, the Releasees ) from all liability for any and all loss or damage, and claims or demands therefor on account of any harm or injury to the person or property of my child or resulting in death of my child, whether caused in whole or in part by the negligence of the Releasees or otherwise, while my child is participating in the Parish Youth Ministry programs/events, whether on or off Parish property. THIS RELEASE MUST BE SIGNED BY BOTH PARENTS OR LEGAL GUARDIANS. If only one parent signs this document, that parent warrants to the Parish and to the Diocese that he/she is the sole custodial parent of the above referenced child with sole authority to sign this waiver and release form. Signature of Parent or Legal Guardian: Date: Signature of Parent or Legal Guardian: Date:

4 CODE OF BEHAVIOR AND POLICIES Your behavior at all times should be such that it reflects credit to you, your ministry, your parents and the Catholic Diocese of Reno. Your conduct is the responsibility of the Catholic Diocese Youth Leaders. You will keep your leader informed of your whereabouts at all times. You are expected to attend trip schedule including: youth day, workshops, mass, meals and other activities during Youth Ministry Programs/Events. You should not leave the event location unless you are accompanied by a Snows Youth Leader. Students requesting to leave early are permitted only for emergency purposes; request must be made to the Youth Director (i.e. death & terminal illness). You are responsible to pay registration fee unless student is excused for medical reason or extenuating circumstances. You are to report any issues, accidents, injuries or illness to your adult Youth Minister and Snows Youth Leaders immediately. Teens/Adult Participants attending Youth Ministry Programs/Events may not purchase, consume or be under the influence of alcohol or drugs at any time. Violators will be subject to strict disciplinary action and will be sent home immediately at the expense of their parents/adult participant. The Diocese of Reno is not responsible for lost or stolen items. No smoking or excessive noise levels are permitted. Appropriate conference clothing for 3 days. (no dressed jeans, short skirts, shorts, halters, tube tops, low-cut tops, and t-shirt with offensive or suggestive symbols/statement). Shoes are mandatory. Poolside Event. Appropriate We expect you to come to this Youth Ministry Programs/Events with a good attitude. Come with your heart open and be willing to participate in a positive manner. We look forward to having you here! If you disregard these rules, you will be subject to disciplinary action, your parents will be notified and you will be sent home at your own expense. By signing this Code of Behavior you are agreeing to conform to these rules. Youth Signature Date Parent Signature Date Video-Digital/Pictures/Internet and Audio-Talent & Interview Release From

5 I/We hereby have the authorization to assign and grant to the Diocese of Reno, hereinafter Diocese and/or any agents or employees thereof to, the right and permission to use and publish the photographs/film/video tapes/digital or electronic representations hereinafter known as images and any sound or audio recording made of: [_ (Name) ] during the Youth Programs/Events hereby release all parties from any liability from such use, editing, presentation and publication in any manner including website or internet use, or characterization thereof; now and/or in the future. I/We hereby authorize the reproduction, copyright, exhibit, broadcast, telecast, publication of every kind including the advertising and publicity connected therewith, electronic editing and storage, and/or distribution of said images and/or sound or audio recordings without limitation at the discretion of: Diocese and/or their agents. I/We specifically waive any right to compensation and acknowledge that I expect zero compensation that I/We may have for any of the foregoing. I am over (18) years of age. If I am under 18 years old my parents and or guardian have acknowledged all of the above by signing this release form. Signature of Participant: Printed Name: Contact Telephone: Address: Youth s Name Parent s or Guardian s Name: Parent s or Guardian s Signature: