2023-24 Sophomore Boys Retreat Permission
Sophomore Boys Retreat will take place at Jameson Camp, Indianapolis.
Not sure which retreat your student is scheduled for? View Rosters Here
INSURANCE INFORMATION (Both lines MUST be completed.)
Allergies, Reactions, Medical or Dietary Limitations
I hereby request that an authorized representative of Bishop Chatard High School make available the above described prescription to my son/daughter/youth listed above during the retreat, in accordance with the information I have entered above.
Parent Responsibility for use of Inhaler
I confirm that my child/youth has been made aware by me that his/her inhaler is for his/her use only and may not be shared with others.
My child/youth has been made aware by me that he/she must notify a staff member immediately following each use of an inhaler in case follow-up response is needed.
Bishop Chatard High School is not responsible for ensuring that the above medication(s) is taken and is relieved of responsibility for the benefits or consequences of the child/youth using or not using the medication as described above.
By typing in my name below, I indicate that I have read this information and consent to the information.
Participation Consent & Relinquishing of Claims against BCHS
Read the BCHS Parent/Guardian Permission Policy Here
If you have any concerns, please contact Brian Farrell, email@example.com.