grant permission for my child {childsLast}{childsFirst}, to participate in this school/parish/diocesan event/program: "Faith Formation Classes/Sacramental Preparation". This activity will take place under the guidance and direction of school/parish/diocesan employees and/or volunteers from Santiago de Compostela Catholic Church.
As parent/legal guardian, I remain legally responsible for any personal actions taken by the above named minor participant.
I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Santiago de Compostela Catholic Church, its officers, directors, employees, and agents, and the Diocese of Orange, its employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish/school, its officers, directors and agents, and the Diocese of Orange, its employees and agents and chaperones, or representative associated with the event for reasonable attorney’s fees and expenses which may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the parish/school or the Diocese of Orange.
I give permission to the physician, nurse, dentist or licensed care staff selected by the supervisory personnel then present to render medical, dental or other appropriate treatment deemed necessary and appropriate by the physician, nurse, dentist or licensed care staff.