Orange XC Program

I hereby give consent for my child/children to participate in the activities in the Catholic Youth Organization of New York (CYONY). I understand that there is a risk of injury to my child/children as a participant in the CYONY Program, and I hereby assume the risk of my child/children's participation in such activities. In consideration of the CYOs acceptance of my child/children in the CYONY Program, and to the extent permitted by law, I hereby agree to release and hold harmless the Archdiocese of New York, Catholic Charities of the Archdiocese of New York, the Archbishop of the Archdiocese of New York, Catholic Charities Community Services, Catholic Charities Community Services of Orange SUllivan Ulster Counties, Catholic Youth Organization, the Parish/School of this registration, its parents and affiliates, and their respective trustees, directors, officers, employees, servants and volunteers from any and all responsibility, liability, claims, and/or demands arising out of my child/children's participation, specifically including any injury that may occur due to their negligence. In the event that I cannot be reached in an emergency, I give permission to the physician selected by CYONY to secure and administer treatment, including hospitalization, for all of the above named persons. I also understand and agree to abide by any restrictions placed on my or my child/children's participation in CYONY Program activities, and that I and/or my child/children will be dismissed from the program if we fail to abide by CYONY program rules.

I hereby consent to the taking of photographs, movies or videos of my child/children by CYONY or its designated representatives in connection with any advertising. I also grant the right to edit, use and reuse said products for any and all purposes selected by the CYONY and release any and all rights, title and interest we may have in such photographs, movies or videotapes, finished pictures, reproductions, copies of negatives of the same in connection with such uses.