Antioch Retreat Consent Form and Liability Waiver

Emergency/Medical Information
Volunteer Information
Teen Code of Conduct
In submitting this form, I agree to abide by all policies and rules established for this event. Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for my actions, including being removed from the event and being sent home at my parent's expense. Basic rules/expectations include, but are not limited to, the following: Respect for all adult leaders, peers, and all property; No illegal drugs, alcohol, underage smoking, firearms, explosives, weapons or other illegal substances; Males and females are to remain in separate sleeping spaces at all times; No inappropriate physical/sexual activity; Appropriate attire to be worn at all times. Other guidelines may be set forth accordingly by adult chaperones present for the event.
Parent Release
I (Parent/Guardian above) grant permission for my child (Participant Above) to participate in this parish youth ministry event that requires transportation to a location away from the parish site. This activity will take place under the guidance and direction of parish employees and/or volunteer from the parish. A brief description of the activity is given above. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by my child. I agree on behalf on myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Transfiguration Catholic Church, its officers, directors and agents, and the Archdiocese of Atlanta, Georgia, chaperons, or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Archdiocese of Atlanta, chaperons, or representative associated with the event for reasonable attorney's fees and expenses arising in connection therewith.
Please DO NOT reply to this e-mail. If you have questions, please contact Melisa, mgonzalez(at) or Karen, kpaonessa(at)
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