The consent form is necessary to allow Syro Malabar Catholic Church Dublin, Ireland to
the best ‘duty of care’ to the children in its care during the events as mentioned below. It
gives permission for your son/daughter to take part and also necessary to ensure
Children’s leaders are aware of any medical, learning issues associated with your
son/daughter so that we can give them a positive and engaging experience.
Event/Activity: Youth Retreat from 25th & 26th August 2017 from 9.30
Venue: St.Anne's Church, Bohernabreena, Co. Dublin.
1. I have read all the information provided concerning the programme of the above
2. I hereby give permission for my son/daughter/ward to participate in the above
3. I accept that my child may be included in photos/videos from the above activity that
might be published by the parish.
4. Syro Malabar Catholic Church Dublin, Ireland only accept liability or responsibility for
an incident or accident caused by the negligence or breach of statutory duty of the
organisation its servants or agents.
checking the checkbox, you are giving your consent for the above child/children.