Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Our Lady of La Salette Church. In exchange for the acceptance of said child’s registration by Our Lady of La Salette Church, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Our Lady of La Salette Church. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising during the religious education sessions and activities.
In case of injury to said child, I hereby waive all claims against Our Lady of La Salette Church, including all leaders and affiliates, all participants, and the Roman Catholic Archdiocese of Detroit.
I give permission for the medical and other information on this form to be shared with the Coordinator, my child’s catechist and other volunteer staff as needed and necessary. I will notify the parish office immediately if there are any changes to the information provided on this form.