Calendar
Consent Form & Liability Waiver

Consent Form & Liability Waiver

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Medical Matters

    I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsiblity for the health of my child. Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
  • Specific Medical Information

    The parish will take reasonable care to see that the following information will be held in confidence. Under medications please list name and dosage of any medications that must be taken.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY