Registration Note that the pilgrimage route has been changed this year. Please see the pilgrimage timeline page for the revised route. Name(required) List any youth (under 18 years of age) who will accompany you on the pilgrimage. Email(required) Phone Number(required) Emergency Contact (Name and Phone Number)(required) Home Parish If you are unable to make the whole pilgrimage, you are still most welcome, but please let us know here when you will arrive and depart. Will you take the bus from Cormac to Renfrew on the first morning of the pilgrimage?(required) Yes No Health and Safety – To the best of your knowledge are there any health concerns that could restrict your participation in the pilgrimage? If there are, please explain.(required) Please list any allergies or food intolerances that could impact your participation in the pilgrimage. Registration Fee - $50/Adult and youth (18 and under) are free. You may pay by cheque or on-line. Payment information will be emailed to you when you register. If you have any questions or concerns about this, please indicate those here. Would you like a commemorative t-shirt? If yes, please indicate the sizes. Each registered pilgrim is entitled to 1 t-shirt. I agree to the terms listed below: Participants under 18 years of age must be accompanied by their parent(s), grandparent(s), or another family member over the age of 18. The guardian agrees to the following terms on behalf of the dependent(s) and him or herself. 1. Assumption of Risk – All activities involve a certain amount of risk, and I understand that many of these risks are unpredictable and are wholly outside the control of the Diocese, and they may change and increase beyond what is now known, anticipated or expected. Representatives of the Diocese and volunteers involved in this activity will take all reasonable steps to ensure the safety of the persons involved in this activity, but in the event of accident or injury of any sort, the Diocese, its employees and volunteers shall not be responsible nor held liable in any way for any such accident or mishap. 2. Assumption of Risk and Release of Claims – Knowing the risks, and in consideration of being permitted to participate in this event, I agree, on behalf of myself, my family, heirs, and personal representative(s), to assume all the risks and responsibilities surrounding my participation in this event. To the maximum extent permitted by law, I do voluntarily and without reservation, and on behalf of myself, my heirs and my estate, release, hold harmless, and indemnify the Diocese and its officers, employees, agents and volunteers, from and against any present or future claims, damages, expenses, actions, losses or liability of whatever kind including but not limited to injury to my person, injury to my property, or injury for which I may be liable to any other person relating in any way to this event caused by the negligence or other actions of the Diocese or any other party including the risks discussed and assumed in this Agreement. I hereby expressly agree that this document shall forever be a complete bar to the commencement or prosecution of any action or proceeding whatsoever against the Diocese and its officers, employees, agents and volunteers and this document may be treated as a complete defense to any such action or proceeding brought by anyone on my behalf. 3. Personal Responsibility a. I will participate in this activity in a mature and responsible fashion. b. I understand that Diocese personnel and volunteers that accompany this activity are authorized to take all reasonably necessary measures to maintain order and control of me by any reasonably necessary means. c. I understand that Diocese personnel and volunteers are hereby authorized to take all reasonably necessary measures to secure emergency medical aid for me and are empowered to authorize medical treatment that may be recommended by a medical practitioner. d. I understand that the possession or consumption of alcohol and illegal drugs is prohibited and I will not be permitted to participate in the event while under the influence of alcohol or illegal drugs. 4. Publicity Consent – I grant the Diocese and its agent’s permission to reproduce and use for educational or other purposes all photographs, videos, or sound recordings of me taken during this event. Acknowledgement – I have carefully read this document before agreeing to it. I understand that this is a Release of my Legal Rights and I have been given the opportunity to obtain independent legal advice prior to agreement. I am voluntarily entering into this Agreement and no representations, statements or inducements, oral or written, apart from the foregoing written statement have been made. This Agreement is effective immediately upon submission of the form and shall be governed by the laws of the Province of Ontario.(required) Agree Submit Δ Share this:TwitterFacebookLike this:Like Loading...
Pilgrimage to St. Ann's Shrine 