I/we, the parents or guardians of the above mentioned child, for myself/ourselves and for my/our child, give permission for my/our child to participate in the above mentioned Retreat, at Saint Alexis Church (March 14, 2021).

I/we, the parents or guardians of the above mentioned child, for myself/ourselves and for my/our child, understand that when participating in liturgies, ministries, groups, events, or generally present on the grounds of Saint Aidan Parish, must comply with the COVID-19 policies of the parish. This includes, but is not limited to: staying home if you feel sick, have symptoms of COVID-19, have a fever; wearing a mask (unless eating); maintaining a social distance of 6ft; washing/sanitizing of hands.

In the event of any injury or illness to my/our child during his/her participation in this retreat, I/we hereby give my/our permission for the necessary medical treatment to be given to my/our child. I/we agree that in case of injury to my/our child, I/we will apply my/our hospitalization and/or accident insurance toward payment of the expenses incurred and will not look to Saint Aidan Parish, Saint Alexis Church, Saint Alphonsus Church, or the Roman Catholic Diocese of Pittsburgh for the payment of any medical costs or injury related costs.

I/We the undersigned parent(s)/guardian do hereby authorize treatment of my/our child by a licensed medical physician in case of any accident or illness that may so arise, or any hospitalization necessary.