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I will be staying overnight (must choose one option)
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LIABILITY WAIVER
Please sign below to indicate you have read and agree to the terms of the following Liability Waiver:
I grant my son/daughter permission to participate in the REFLECTIONS Confirmation Retreat on Nov. 16-18, 2018.
In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental in such participation and do hereby release, absolve, indemnify, and agree to hold harmless St. Susanna Parish, the Archdiocese of Indianapolis, its agents, employees and offices and the chaperones, leaders, organizers and sponsors, and persons. Neither the Archdiocese of Indianapolis/St. Susanna Parish nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of the activity. I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.
In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical treatment to be administered. I wish to be advised prior to any further treatment by the hospital or doctor.
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I understand this is a legal representation of my signature.
Clear
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I understand this is a legal representation of my signature.
Clear
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I understand this is a legal representation of my signature.
Clear
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