I parent/guardian of the above named participant, grant permission for this child to participate in St. Joe's Day in Glennon, MO on August 6th 2021. This activity will take place under the guidance and direction of parish employees and/or volunteers. As parent/guardian, I remain legally responsible for any personal actions taken by the above named minor (participant).
In the event of an emergency, I hereby give permission to transport the above named child to a hospital for treatment by the hospital or doctor. I wish to be advised prior to any further treatment by the hospital or doctor. I further give my permission for health officials to release medical information on my son/daughter to the diocesan group leader, if applicable.
Further, I give my permission for photographs/video of the above named child to be used for parish or diocesan communications and promotional programs. I understand that any photographs/videos will be used only in a legal manner and that at no time will my child or I be depicted in any unethical manner.
I agree on behalf of myself, my child named herein, my and my child's heirs, successors, and assigns, to hold harmless and defend St. John/St. Anthony parish and the Diocese of Springfield-Cape Girardeau, their officers, directors, employees, volunteers, agents, chaperones, and representatives associated with the event, from any claim arising from or in connection with my child attending the event, from any claim arising from or in connection with any illness or injury (including death) or in connection with the cost of medical treatment as a result of an illness or injury even if the cause of damages or injury is alleged to be the fault of or caused by the negligence of parish or the Diocese of Springfield-Cape Girardeau, their officers, directors, employees and agents, chaperones, and representatives associated with the event. I agree to compensate the parish or Diocese, their officers, directors, employees, agents and chaperones or representatives associated with the event for reasonable attorney's fees and expenses which they may incur in any action brought against them as a result of such injury or damage, unless such a claim arises from the negligence of the parish or Diocese.