• Certification of Medical Insurance and Indemnity Agreement

    St. John the Baptist Catholic School
  • The undersigned, as parent(s) or legal guardian(s) of do hereby certify to St. John the Baptist School ("School") and the Catholic Diocese of Belleville ("Diocese") the following:

  • I/We further understand that the School does not provide any medical insurance coverage for the Child, and that I/we assume all responsibility for payment of any medical expenses (including, but not limited to, doctors' fees, hospital charges, or any medical or related charges) incurred by the child due to any injury or illness that occurs while the Child is in attendance at the School, or participating in any School-sponsored activity, including athletic events.

    I/We hereby agree to hold harmless and indemnify the School and Diocese, including their employees, volunteers, clergy and religious, from any claims for medical expenses described above.

    I/We have read the above Agreement and fully understand the terms contained herein, and agree to abide by its terms.

     

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