Liability and Indemnity Disclosure:
As parent(s) and/or legal guardian(s), I/we remain legally responsible for any personal actions taken by the above-named Participant.
I understand and acknowledge that participation in the Field Trip involves inherent risks of injury to my child, including risks associated with transportation by motor vehicle. I acknowledge that this vehicle may be operated by a volunteer driver. I authorize the Designated Supervisor(s) of the Field Trip to authorize and consent to any medical care for my child that he or she reasonably believes necessary, including, but not limited to, hospitalization or surgery. I agree to pay any expenses related to such medical care. I understand and acknowledge that the Designated Supervisor(s) of the Field Trip will attempt to obtain my permission by telephone before authorizing or consenting to any medical care for my child if time and conditions permit. I understand and acknowledge that any medical expenses related to illness or injury to my child while on the Field Trip are not covered by any insurance program maintained by the Parish/School/Agency or the Diocese of Charlotte, and that I am primarily responsible for such expenses. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor (child). 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/Agency, its officers, directors and agents, chaperones, or representatives associated with the event, and the Diocese of Charlotte from any claims arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the Parish/School/Agency, its officers, directors and agents, chaperones, or representatives associated with the event, and the Diocese of Charlotte for reasonable attorney’s fees and expenses arising in connection therewith.
I hereby consent to my child’s participation in the Field Trip. I have carefully read this Field Trip Authorization, and I understand and agree to each of the covenants and conditions set forth above.
