Diocese of Covington - Youth Ministry at 402 E. 21st St., Covington, KY 41015-0550 US - Diocesan Forms

Form A -Short form for youth - A joint medical and liability form for those outings which are one day and not out of town.

Form B - Short form for adults - A joint medical and liability release form for those outings which are one day and not out of town.

Form C - Youth Parental Consent and Waiver of Liability - This form should be used for most of the events sponsored by the parish of Diocese.  It notifies the parents as to what the event is about.  You should give as much information as possible about what is going to happen.  You must have a newly signed Consent and Waiver of Liability for each event.

Form D - Medical Emergency Form -This form needs to be NOTORIZED  and is to be used for those events which take place outside of the Diocese or are considered to have possible risk involved. Ex. Work camp, canoe trip, NCYC, ski trip etc.  This form is good for one year as longg as the information does not change.

Form E - Limited Power of Attorney for Health Care - This form is for all minor aged youth.  It is to be used for all overnight events when parents/guardians are not able to be reached in case of an emergency.  This form is used in conjunction with the Medical Emergency Form and gives the adult named the legal right to make health care decisions for the minor child in case of emergencies.

Form F - Driver Information Sheet - This form is for those people who will be driving other youth to and from parish/diocesan events.  All drivers must be 21 years old and have minimum insurance coverage listed on the form. (see also the Driver by parish form)

Form G - Adult Consent and Liability Wavier - This form is for all adults who participate in parish or Diocesan events.  A new form is to be filled out for every event.

If you have any questions about the use of these forms, please contact the Office of Planning and Research, 859-392-1590 or email:  jvonhan@covingtondiocese.org.