I(parent/guardian of above named child) hereby give approval for my child to participate in XLT at the Center for Pastoral Leadership and does waive, release, save and hold harmless and indemnify St. Basil the Great, Life Teen Core Members, organizers and agents from any personal injury to my child.
As a participant in the Life Teen program, I hereby give St. Basil Church, and the Life Teen program my permission to use my likeness in photo or video form and my name in publicity, both within internal communication of the above-mentioned groups for use in communication pieces, and to area news media in all forms without limit as to time. I further release them from liability for what I might deem a misrepresentation of me by virtue of alterations, optical illusions, or faulty mechanical reproduction.