DOW-R PARENTAL CONSENT/LIABILITY WAIVER/MEDICAL RELEASE
I agree on behalf of myself, my child named herein, or our heirs, successors, and
assigns, to hold harmless and defend the above named parish/school, its officers, directors, employees and agents, and
the Diocese of Winona-Rochester, its employees and agents, chaperones, or representatives associated with the event,
from any claim arising from or in connection with my child attending the event or in connection with any illness or injury
(including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish/school, its
officers, directors and agents, and the Diocese of Winona-Rochester, its employees and agents and chaperones, or
representative associated with the event for reasonable attorney’s fees and expenses which may incur in any action
brought against them as a result of such injury or damage, unless such claim arises from the negligence of the
parish/school or the Diocese of Winona-Rochester.