2025 Fall Service Trip | St. Anthony of Padua Church

Teens Giving (9th-12th graders)

Join us on Wednesday, November 26, 2025 to volunteer at Mother of Light Center’s Thanksgiving event! Meet at St. Anthonys at 8:30am. We will ride together to Mother of Light Center, volunteer together, and return to St. Anthony’s at 12:30pm.

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I understand and hereby agree to the terms and conditions of the participant’s involvement in the described event, and I freely execute this Acknowledgement with full knowledge of its content.

Parental Permission and Liability Release: As parent/legal guardian of the participants names above, I give my permission to participate fully in the Wayside Farm / Holy Cross Abbey trip from Saturday, October 18, 2025 8:30am to 4:00pm. I agree to indemnify and hereby release the Most Reverend Michael F. Burbidge of the Catholic Diocese of Arlington and his successors in office, as well as the Catholic Diocese of Arlington and all Diocesan clergy, employees, volunteers, and participating parishes and schools from any and all liability, claims, demands for personal injury, sickness, and death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned of the participant resulting from said participant’s involvement in the above mentioned event (including tranportation to and from the event). Furthermore, I on behalf of the participant hereby assume all risk of personal injury, sickness, death, damage, and expenses resulting from said participant’s involvement in the above-described event.

Informed Consent to Medical Treatment: I request that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment when a condition or injury arises that is serious enough that a reasonable person would seek care right away. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. I assume full responsibility for all costs of such treatment. Further, should it be necessary for the participant to return home due to medical, disciplinary, or other reasons, I do hereby assume responsibility for the participant’s transportation home and any costs related thereto.

Photo, Press, Audio, and Electronic Media Release: I authorize the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald to use and publish. my child’s photograph, video and/or audio recording along with their name identifying them for educational, news stories, illustration, and/or marketing purposes.

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