P ARENTAL/GUARDIAN CONSENT AND INDEMNITY AGREEMENTParental/Guardian Consent and Indemnity Agreement • March 2nd, 2020
TO PARTICIPATE IN THE ABOVE-DESCRIBED EVENT and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify Transfiguration and the Archdiocese of St. Paul and Minneapolis from any claims or law suits brought against Transfiguration and the Archdiocese of St. Paul and Minneapolis by myself, my child, or others that arises out of any behavior by my child at the event described above. I also agree to pay reasonable attorney’s fees or expenses incurred by Transfiguration and the Archdiocese of St. Paul and Minneapolis in defense of such a claim/suit.
PARENTAL/GUARDIAN CONSENT AND INDEMNITY AGREEMENTParental/Guardian Consent and Indemnity Agreement • October 7th, 2021
Type/Date of Event: Extreme Faith Camp 2020-Monday, June 22-Friday, June 26 Location: Big Sandy Camp – McGregor, MN Group Leader: Joe Kuschel
PARENTAL/GUARDIAN CONSENT AND INDEMNITY AGREEMENTParental/Guardian Consent and Indemnity Agreement • February 6th, 2018
Type/Date of Event: Extreme Faith Camp-Saturday, June 9 - Friday, June 15 Location: Big Sandy Camp – McGregor, MN Group Leader: Justin Shay Travel Details: Departure: Saturday, June 9 Return: Friday, June 15 Mode of Transportation: Caravan
Off-site Youth Activity Parental/Guardian Consent Form and Indemnity AgreementParental/Guardian Consent and Indemnity Agreement • December 3rd, 2012
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the Church of St. Joan of Arc and the Archdiocese of St. Paul/ Minneapolis from any claims or law suits brought against the parish/Archdiocese of St. Paul/Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish and Archdiocese in defense of such a claim/lawsuit.
PARENTAL/ GUARDIAN CONSENT AND INDEMNITY AGREEMENT THIS FORM IS TO BE HANDED IN TO:Parental/Guardian Consent and Indemnity Agreement • August 11th, 2017
EMERGENCY MEDICAL TREATMENT : In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I agree to allow my child to receive emergency medical treatment at my expense at the discretion of the event sponsors. 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:
PARENTAL/ GUARDIAN CONSENT AND INDEMNITY AGREEMENTParental/Guardian Consent and Indemnity Agreement • December 11th, 2017
DATE OF EVENT (please check all events your child will be attending – if not checked and your child wants to attend later on, we can scan your permission slip to you to have you check it off):
PARENTAL/GUARDIAN CONSENT AND INDEMNITY AGREEMENT THIS FORM IS TO BE HANDED INTO:Parental/Guardian Consent and Indemnity Agreement • December 11th, 2019
Participant’s Name: Home Address: City: State/Zip: Home Phone: Email: Date of Birth: / / Gender: Male Female Grade in School (Fall 2020): 10, 11, 12, Graduate Parent/Guardian’s Name: Ph:
PARENTAL/GUARDIAN CONSENT FORM AND INDEMNITY AGREEMENTParental/Guardian Consent and Indemnity Agreement • July 7th, 2009
to participate in the above named activity and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify the parish-school and the Archdiocese of St. Paul/Minneapolis from any claims or law suits brought against the parish/school/Archdiocese of St. Paul/Minneapolis by myself, my child or others, that arises out of any behavior by my child at the event/activity described above. I also agree to pay reasonable attorney’s fees or expenses incurred by the parish/school and Archdiocese in defense of such a claim/law suit.
PARENTAL/GUARDIAN CONSENT AND INDEMNITY AGREEMENT THIS FORM IS TO BE HANDED IN TO:Parental/Guardian Consent and Indemnity Agreement • November 2nd, 2016
Location: NET Center – 110 Crusader Ave. W., West St. Paul, MN 55118 Group Leader: Seyha Saumweber Drop off: 5:00 PM Pick up: 9:00 PM Mode of Transportation: drop off and pick on site Date of Event (please check all events your child will be attending – if not checked and your child wants to attend later on, I can scan your permission slip to you to have you check it off):
PARENTAL/GUARDIAN CONSENT AND INDEMNITY AGREEMENT THIS FORM IS TO BE HANDED INTO:Parental/Guardian Consent and Indemnity Agreement • March 2nd, 2022
above. I also agree to pay reasonable attorney’s fees or expenses incurred by Church of the Epiphany and the Archdiocese of St. Paul and Minneapolis in defense of such a claim/suit.
