Child/Minor Acknowledgement Form
The Catholic Bishop of Chicago (CBC) and St. Marcelline Catholic Church are committed to conducting programs and activities in the safest manner possible and holds the safety of the participants in the highest possible regard. Participants and parents registering their child in these programs must recognize there is an inherent risk of injury when choosing to participate in these activities including athletics. The CBC and St. Marcelline insists the participants follow safety rules and instruction designed to protect the safety of the participants and attendees.
Please recognize that the CBC and St. Marcelline does not carry medical insurance for injuries sustained in its programs. The cost would make program fees prohibitive. Each person registering themselves or a family member for a program/activity should review their own health insurance policy for coverage. The absence of health insurance coverage does not make the CBC or St. Marcelline responsible for payment of medical expenses.
I recognize and acknowledge there are risks of physical injury and I agree to assume the full risk of any injuries (including death), damages, or loss which I or my minor child may sustain as a result of participating in activities connected with this program. If I am responsible for the transportation of my child to and from the event, the use of my personal automobile to transport participants or attendees is not sanctioned by the CBC or St. Marcelline and is my voluntary undertaking. If an Adult Volunteer Driver transports my child to and from an event, it is my understanding that the adult driver has submitted to a background check and has taken Virtus Training. In either case, it is understood and acknowledged by the adult driver that their automobile insurance is primary; the driver will understand and comply with the rules and regulations of the Illinois Motor Vehicle Code; the driver understands and will comply with Federal, State and local laws. During the event(s) and to and from the event(s) the driver will not engage in any inappropriate behavior or activity.
On behalf of myself or child/ward, I will indemnify the Catholic Bishop of Chicago, a Corporation Sole and
St. Marcelline Catholic Church from claims resulting from injuries, (including death), damages and losses sustained by me or my minor child/ward or arising out of, connected with, or in any way associated with the activities of the program.
In the event of an emergency, I authorize the CBC or St. Marcelline Catholic Church officials to secure from a hospital, physician, and/or medical personnel any treatment deemed necessary for minor child’s immediate care and agree I will be responsible for payment of any and all medical services rendered. I have read and fully understand the above program details.