LIABILITY ACKNOWLEDGEMENT FORM & CODE OF CONDUCT

CODE OF CONDUCT & Responsibility Policy

• Participants will not attend any church activity while under the influence of illegal substances, including alcohol, drugs, smoking or vaping
• Participants will not leave the facility without parental approval and office notification
• Participants will not carry any form of knife or weapon
• Participants will not be disrespectful toward any adult leader, church property and/or peers
• Participant agrees to display appropriate “Christ-like” Christian behavior during events, 
• trips, sessions, etc.
• Participant will remain respectful while attending sessions and show reverence to God – remember where you are – inappropriate behavior will not be tolerated
• When bringing cell phones and/or pagers to class – they must remain OFF during the event times 
• or will be confiscated – these items are NOT allowed on retreats
• Participants are expected to wear appropriate clothing and to remove all hats while in church
• No participant will be allowed to leave during class unless a parent obtains permission from a 
• staff member
• All requests for changes in class schedules need to go through the Catechetical Ministry 
• Office. Participants will receive a Notification of Change slip to present to the new teacher.
• Any participant displaying questionable behavior will be dismissed

►PARENT'S INITIALS __________

PHOTO RELEASE & DIGITAL MEDIA AGREEMENT
I hereby authorize the making of photographs, motion pictures, videotapes, voice recording, usage 
of online services ZOOM, Instagram Live, Groupme) of said session and my child’s participation 
therein, and the publication and duplication or other use thereof. I hereby waive any rights to 
compensation or any right that I otherwise might have to limit if to control such making or use.►►
►By checking this box,_______ I DO authorize any photos, videotapes, and voice recordings of my child as well as his/her usage of the online services mentioned above.  ________PARENT'S INITIAL    Date____________
►By checking this box, ______I DO NOT authorize any photos, videotapes, and voice recordings of my child as well as his/ her usage of the online services mentioned above. ______PARENT'S INITIAL Date__________
                 
Protecing God's Children SAFE TOUCH PROGRAM
The Diocese of San Bernardino requires all parishes to present a sexual abuse prevention
program, the VIRTUS Touching Safety program to all children/youth/teens. We will present the Safe 
Touch Program the months of November & February This program is provided to us by the Diocese of 
San Bernardino and is a part of our ongoing effort to help create and maintain a safe environment 
for children and to protect all children from sexual abuse.  The Diocese expects 100% compliance. 
►Parent’s Initial:   ___________                  

NO REFUND POLICY
St Anthony’s policy states that all fees are non-refundable.
►Parent’s Initial:  _____________                    
     
Please complete only if you have a teen in the youth Confirmation Program
For High School Confirmation Program ONLY – Sign-In/Out Permission
►I _____give permission  _____do not give permission for son/daughter's name                                
to sign themselves in & out of Confirmation class when classes meet at the parish.
►Parent’s Initial: _________________            

PARENT or GUARDIAN
►Please Print Name:    _________________________________                                                              
      
►Signature (Parent/Guardian)    _____________________________________________________                                   ►Today's Date    _____________________________________________________________________                                                

OFFICE COPY