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Summer Events Permission Slip
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Becoming Catholic (RCIA)
The maximum number of form submissions has been reached. This form is currently not available.
Church of Saint John the Evangelist of Little Canada
380 Little Canada Rd.
Little Canada, MN 55117
651-484-2708
Summer Events Participant Parental Consent Form and Indemnity Agreement
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Type of Event:
2020 Summer Faith Formation Program at the Church of Saint John the Evangelist of Little Canada.
Type of Event:
Grades 1-5 and 6-8 will also be taking a walk along the trails in Spooner Park on 8/18 and 8/11, respectively.
Duration:
3 days, as scheduled
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Permission:
I,
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grant permission for
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to participate in the above named activity and I warrant that my child(ren) is in good health. In consideration of my child(ren)’s participation, I agree to indemnify the above named parish-school and the Archdiocese of Saint Paul and Minneapolis from any claims or law suits brought against the above named parish-school, Archdiocese of Saint Paul and Minneapolis by myself, my child(ren) or others, that arises out of any behavior by my child(ren) at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and the Archdiocese in defense of such a claim/suit.
I also hereby waive and release the named church and the Archdiocese of St. Paul/Minneapolis from all claims and liability arising from any acts or omissions by the church, Archdiocese or their agents with regard to any injuries or damages incurred by my child during the ordinary course of the event/activity. This release and waiver shall not apply to claims that may arise from intentional acts.
EMERGENCY MEDICAL TREATMENT
: In the event of an emergency, I give permission to transport my child(ren) to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital.
In the event of any emergency, if you are unable to reach me at the above numbers, contact
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Medication my child(ren) (Specify which child) is currently taking:
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Allergies (specify by child):
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AUTHORIZATION, CONSENT AND RELEASE FOR USE OF VISUAL LIKENESSES AND ORIGINAL WORKS OF MINORS
I authorize and consent that above named school-parish and the Achdiocese of Saint Paul and Minneapolis be permitted to use and publish for general communications, advertising, commerical or publicity purposes, or for any other lawful purpose whatsoever the likeness of My Child and My Child's original work, including video, photographic portraits, pictures, or reproductions, made through any medium, including social or other electronic media, in accordance with the Acceptable Use Policy for Electronic Communications and the Social Media Policy, provided only the first name (not the family name) is identified if any name is used. I hereby release above named school-parish, the Archdiocese of Saint Paul and Minneapolis, and anyone authorized by above named school-parish or Archdiocese of Saint Paul and Minneapolis with such use. This consent regarding My Child's likeness or original work is valid for one year. If I choose to rescind my authorization and consent, I agree that I will inform above named school-parish in writing and that my rescission will not take effect until it is received by above named school-parish. I understand however that it may not be possible to recall any work or photos that have been published prior to receipt of my written rescission. I have read the above Disclosures, Authorizations, and Releases, have had the opportunity to consider their terms, and understand them. I execute this document voluntarily and with knowledge of its significance.
As Parent or Guardian, I agree to all of the above stated considerations and conditions.
I Agree
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