PARENTAL/LEGAL GUARDIAN CONSENT FOR MINORS

I/We, the undersigned ______________________________(Name/Surname)

resident of _________________________________________________ (ZIP, City)
______________________________________________(Number, street)

□ as parent □ as guardian or legally responsible person

of _____________________________________________________(Name/Surname)
born on ________________(date of birth), in________________ (Place of birth)
resident of _________________________________________________ (ZIP, City)
____________________________________________________(Number, street)

I/We consent that he/she takes part in the Days of Encounter

in the Australian Dioceses (July 14 ~23, 2008) and/or in the
Word Youth Day in Sydney (July 15~20, 2008.

I/We delegate responsibility for my child’s care to

Mr./Mrs _______________________________________________(Name/Surname)
born on __________________(date of birth), in ______________(Place of birth)
resident of _________________________________________________ (ZIP, City)
______________________________________________(Number, street)

Allergy and medication information :

_________________________________________________________________________________
Special obligations and restrictions:
_________________________________________________________________________________

I/We understand that the “WYD SYD” Organizing Committee and its
staff will not be held responsible for my/or child’s supervision nor for
any damages caused by my child. In the instance that my/our child
receives accommodation with host family, the host family is also
exempt from all responsibility. I/We also understand that the minimum
age for Word Youth Day participants is 16 and that supervision of
minors must be entrusted to an adult.
____________________ , _____________ , __________________ ____________________
City Date Signatures