Guest Registration

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  • Prom 2023 Guest Permission, Waiver, Assumption of Risk, and Release Agreement and Guidelines

    I, the undersigned parent/legal guardian (“Parent”) of the below named guest (“Guest”) of the MATER DEI CATHOLIC HIGH SCHOOL (“MDCHS”) below named student (“Student”), and the Guest if the Guest is 18 years of age or older, requests and grants permission for Guest to participate in the following ("Activity")

  • Prom will be held on Saturday, April 29, 2023 from 7:00 pm until 10:00 pm at Loews Coronado Bay Resort, which is located at 4000 Coronado Bay Road, Coronado, CA 92118 (“Dance”). In consideration for Mater Dei Catholic High School (“MDCHS”) permitting the above named guest (“Guest”) to participate in the Dance, I, the undersigned parent/legal guardian of Guest (“Parent”), agree to the terms and conditions of this Permission, Waiver, Assumption of Risk, and Release Agreement and Guidelines (“Agreement”) as set forth herein (Parent and MDCHS are sometimes collectively referred to herein as “Parties”):

  • 1. Informed & Voluntary Consent:I understand and acknowledge that my consent for Student to participate in the Dance is strictly voluntary and that I may decline to provide permission for Student to participate in the Dance. I understand and acknowledge that MDCHS will not arrange transportation to or from the Dance for Student, and Student and I are solely responsible for arranging Students’ transportation to and from the Dance.

    2. Student Conduct:I agree that Student must adhere to all MDCHS rules and policies for student conduct, including those set forth in the Dance Guidelines, attached hereto as Exhibit A, which are incorporated by reference. I further agree that MDCHS has the right, in its sole and absolute discretion, to terminate Student’s participation in the Dance at any time for conduct in violation of any MDCHS rule or policy or for any conduct MDCHS deems detrimental to MDCHS, Student, or any other party.

    3. Acknowledgement & Assumption of Risk: I acknowledge and agree that there are many inherent risks, known and unknown, involved with Student participating in the Dance, including, but not limited to: exposure to or infection of COVID-19 or other illness or infectious disease emotional distress; and damage to or loss of personal property, life, limb, or other injury. Nevertheless, I expressly assume responsibility for all risks associated with Student participating in the Dance whether or not described in this Agreement, known or unknown, or inherent or otherwise.

    4. Voluntary Release of All Claims: I, on behalf of myself and Student, hereby voluntarily release, waive, discharge, covenant not to sue, and relinquish MDCHS, its officers, directors, board members, administrators, employees, agents, and representatives (collectively “the Released Parties”) from any and all claims, demands and liabilities, including for personal injuries, accidents or illness (including death), emotional distress, and property damage or loss (“Claims”) arising from Student participating in the Dance, except to the extent caused by the gross negligence or intentional misconduct of the Released Parties.

    5. Release of Third Party Liability: I acknowledge that the Loews Coronado Bay Resort, GOT DJ Company, San Diego Linens, and Pixster Photobooth, LLC (“Providers”), are third party entities, and the Released Parties are not agents of, have no responsibility or liability for, and have no control over the services provided by the Providers, their officers, trustees, directors, employees, volunteers, insurers, agents and representatives (collectively, “Providers’ Parties”). I acknowledge that, as a condition of Student’s participation in the Dance, I release and hold harmless the Released Parties and each of them from any and all Claims arising out of any acts, omissions, negligence, or intentional misconduct of the Providers’ Parties that provide services for the Dance.

    6. Indemnification and Hold Harmless: To the fullest extent permitted by law, I agree to defend, indemnify, and hold the Released Parties, and each of them, harmless from and against any and all Claims Student may bring or other Claims to the extent caused by Student’s acts or omissions while participating in the Dance.

    7. Entire Agreement: This Agreement constitutes a single, integrated agreement expressing the entire Agreement of the Parties with regard to the subject matter addressed in this Agreement. This Agreement may be modified or superseded only in a written instrument that specifically references the Agreement and is executed by all Parties.

  • I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS AND CONDITIONS, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE. I UNDERSTAND THAT I HAVE RECEIVED THE OPPORTUNITY TO SEEK LEGAL COUNSEL AND ASK QUESTIONS BEFORE SIGNING THIS AGREEMENT. I ACKNOWLEDGE THAT I AM SIGNING THIS AGREEMENT FREELY AND VOLUNTARILY AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

    Unless one parent/legal guardian has had his/her parental rights terminated by court order, both living parents/legal guardians must sign this Agreement.

  • PARENT/GUARDIAN #1
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  • PARENT/GUARDIAN #2
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  • EMERGENCY CONTACT
  • HEALTH INSURANCE
  • Please enter the policy number of your health insurance provider.
  • STUDENT INFORMATION
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  • Please list any special allergies or special dietary needs. To add additional food allergies or special dietary needs please click the + button to the right of the text box. (If none enter NA)
  • MedicationDoseTime 
    Please list any medications your child is taking above along with the dosage and timing. To add additional medications please click the + button to the right of the text box. (If none enter NA)

  • Submitting the permission slip is only the FIRST step in the ticket purchasing process for prom. Please DO NOT submit your permission slip unless you are ready to purchase your Prom ticket. If you submit the permission slip and attempt to pay later you will have to submit the permission slip again.

    Once you submit the permission slip, please wait to be redirected to the Prom ticket purchase page, add a prom ticket to the cart, and checkout using a valid credit card.