2025 Vacation Bible School Permission Form

As the parent/legal guardian of the listed child(ren), I do hereby give my permission for my child(ren) to participate in Vacation Bible School (VBS) on the dates selected above.

I do hereby release and forever discharge the Diocese of Greensburg, its Parishes, and designated chaperones and/or employees from any/all actions or suits in law or equity which we might hereafter have by reasons of injuries sustained by myself or minor child participating in the above mentioned activity. In case of emergency, we give permission for our minor child or self to be treated at a hospital and/or by a medical doctor.

In consideration for providing my child the opportunity to attend formation and parish activities both my child and I voluntarily agree to release and agree to hold the PARISHES AND DIOCESE OF GREENSBURG harmless from, and waive on behalf of myself/my child, my heirs, and any personal representatives, any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself/my child that may be caused by any act, or failure to act of the PARISH AND DIOCESE OF GREENSBURG or that may otherwise arise in any way in connection with my child’s attendance at the event to the fullest extent allowed by law.

This liability waiver and release extends to the PARISHES AND DIOCESE OF GREENSBURG together with its clergy, staff, and volunteers.

I certify and represent that I have the legal authority to waive, discharge, release, and hold harmless the released parties on behalf of myself and the below-named student

I hereby grant to the Diocese of Greensburg, Pennsylvania, and its respective licensees, successors and assigns, the right and permission, with respect to those photographs taken of me or the minor(s) named under the Participants section on whose behalf I am signing, and with respect to any printed or electronic matter in connection therewith, to do the following:

1. To include such photographs on the Diocese of Greensburg website and on print material
2. To use my name, or the name of the minor(s) on whose behalf I am signing, in connection with the foregoing.

I hereby release, discharge and agree to indemnify and hold harmless the Diocese of Greensburg and its legal representatives, licensees, successor and assigns, from all claims and demands whatsoever arising out of or in connection with the foregoing, and waive any right to inspect or approve the same.

I hereby certify that I am the [parent and/or guardian] of the minor(s) under the age of eighteen years named under the Participants section, and hereby consent on behalf of said minor(s) to the use of any of the photographs taken of said minor(s) pursuant to the terms set forth in this Photographic Release, including, without limitation, the release, discharge and hold harmless provisions thereof.