Retreat Registration Form

Parent/Guardian Details
Child Details

Consent Form
Dear Parent/Guardian,
The consent form is necessary to allow Syro Malabar Catholic Church Dublin, Ireland to provide 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 AM to 5.00 PM
Venue: St.Anne's Church, Bohernabreena, Co. Dublin.

1. I have read all the information provided concerning the programme of the above activity.
2. I hereby give permission for my son/daughter/ward to participate in the above activity.
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.

If there is any medical condition/special requirement for your child required, which the organisers ought to be aware, please click on the check box and enter details in the text box.  
  By checking the checkbox, you are giving your consent for the above child/children.