Please indicate which days of the week that you are available to be present.

• I, the undersigned, as self or the parent or legal guardian of the named child/children, do hereby give permissions for him/her/them to participate in any of the activities conducted during Vacation Bible School for All Saints Catholic Church.

• Liability Release: I also hereby release, forever discharge and agree to hold harmless All Saints Catholic Church and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the above-named child/children that occur during all Vacation Bible School activities. Furthermore, I hereby assume all risk and personal injury, sickness, death, damage, and expense as a result of participation in these activities. Further, authorization and permission is granted to furnish any necessary transportation, food, lodging required for the activities. The undersigned further hereby agrees to hold harmless and indemnify All Saints Catholic Church, its directors, employees or agents, for any liability sustained by said church as a result of the negligent, willful or intentional acts of the above-named child/children, including expenses incurred attendant thereto.

• Medical Release: I attest that I am and the above-named child/children is/are in good physical condition. Should any accident or illness occur during any Vacation Bible School activity, I will not hold its directors responsible for medical aid rendered and will reimburse them for the medical and other expenses incurred.
  The above-named self or  child/children may receive necessary first aid. He/she may receive medical attention by any duly licensed physician or may be admitted into a hospital in case of emergency.

• Disaster Preparedness: In case of disaster, my self or child/children may be released into the care of a parent, legal guardian, or the above listed emergency contact persons.

• Photo/Video Release: I hereby authorize and give full consent, without limitations or reservations, to All Saints Catholic Church and the Archdiocese of St. Louis to publish any photographs or videos in which the above-named student(s), parent(s) or guardian(s) appear while participating in any Vacation Bible School activities. There will be no compensation for use or any photographs or videos at the time of publication or in the future.

• By my electronic signature, I, as parent/legal guardian, agree to the above stated Agreement. (Please type in your full name.)