*All March for Life information including itinerary and lodging specifics will be sent in your confirmation email. All applications are processed on a first-come, first-served basis.
**Cancellations can be transferred to another student, but not refunded, if our office is notified by 5 pm on the Monday prior (January 23, 2016) to the departure for March for Life.
I grant permission to the adult staff/volunteers to give my child non-prescription medications such as cough drops, antacids,ibuprofen (Advil), etc.
I grant permission to the adult staff/volunteers to act on my behalf for the minor named above in granting permission for evaluation and treatment of medical problems during the March for Life. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give my consent to such treatment as deemed necessary, including surgery, x-rays, scans, and anesthesia to be rendered to said minor by a licensed physician, nurse, or medical professional.
I hereby authorize Diocese of Nashville and its agents to utilize my child's photographic image for the specific purpose of publication of promotional material and Diocese of Nashville website and official social media accounts. I understand that I will receive no compensation should any photograph of my child be used.
"Through my own and/or my child's acceptance and use of the ticket to enter and attend the 2016 Youth Rally and Mass for Life, I hereby grant the Archdiocese of Washington permission to use my own and/or my child's image and likeness in any television broadcast, photograph, video, internet site, audio-recording, and in any and all of its publications, including website entries (collectively "promotional materials") without payment or any other consideration. I understand and agree that these promotional materials will become the property of the Archdiocese of Washington and will not be returned. I hereby irrevocably authorize the Archdiocese of Washington to edit, alter, copy, exhibit, publish or distribute my own/my child's image or likeness for purposes of publicizing or promoting the Archdiocese of Washington's programs, or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copies, wherein my own/my child's likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the promotional materials. I hereby hold harmless and release and forever discharge the Archdiocese of Washington from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf, my child's behalf, or on behalf of my estate have or may have by reason of this authorization:
Further, I release the Diocese of Nashville, its employees,volunteers, and studentleaders from any claims connected with participation of said minor during this pilgrimage.
I have read and accept the terms for attending the March for Life.