1. 1 Registration Form
  2. 2 Review
  3. 3 Payment Details
  4. 4 Receipt

= Required

$100.00 (USD)






Permission, Medical, & Liability

As parent or guardian of this child, I attest that he/she is in good health and has no physical, mental, or emotional reason that would prohibit him/her from participating in DYC. I understand that every precaution has been taken to assure the good health and safety of each participant.
Therefore, I waive any liability of the Diocese of Atlanta or it’s representation from injury or death while attending DYC. I give my permission to the Diocese of Atlanta to hospitalize, secure treatment for, and to order injection, anesthesia or surgery for my child, and to have my child medically treated by a licensed physician, nurse, or hospital staff during the time period described.
I also understand that the Diocese of Atlanta does not provide medical insurance for expenses of these treatments. Therefore, all expenses would be the responsibility of the family of the child requiring treatment.

Photo Release

I hereby give my consent to all photos video taken of my child by the Diocese of Atlanta. I understand that any such photos, or videos become the property of the Diocese of Atlanta and may be used by the parish or Diocese with their consent, for, instructional or promotional purposes determined by the Diocese of Atlanta in broadcast and media formats now existing or created in the future.

Payment Information

Payments can be made online or mailed to the attention of Easton Davis, Youth and Young Adult Missioner, to the Diocese of Atlanta, 2744 Peachtree Rd. NW, Atlanta, GA. 30305.