Consent, Liability, and Medical Matters
I hereby consent to participation by my child in this school-sponsored event that requires transportation to a location away from the school site. This activity will take place under the guidance and direction of school employees and/or volunteers from Skutt Catholic High School.
A brief description of the activity follows:
Activity: Community Involvement Day
Destination of Event: Various local service sites
Date and Departure Time: Wednesday, October 2, 2019, 8:45 a.m. approximately
Anticipated Return Time to Skutt Catholic: 1:40 p.m. (approximately) [12:00 p.m. for some sites]
Method of Transportation: Vehicles of parents, faculty members, other adults
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Skutt Catholic High School, its officers, directors and agents, and the Archdiocese of Omaha, chaperones, or representatives associated with the event, from any illness, injury, or cost of medical treatment, arising from or in connection with my child attending the event described above, that is not the result of intentional neglect or willful or wanton misconduct by the school, its agents, representatives or employees.
Medical Matters: 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 or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.