3-Day Service Mission Youth Volunteers - March 25

I, the undersigned, am the custodial parent/legal guardian of (“Participant”, list below). I have reviewed the Service Mission Information provided by Christ the King Parish above and agree to the terms and conditions contained therein and request that Participant be to allowed participate in the Service Mission for Sr. BJ's Pantry at Christ the King Church from 6:30-8pm on Monday, Mar. 25, 2019.

Emergency Medical Consent: I hereby warrant that to the best of my knowledge, Participant is in good health and physically able to participate in the Service Mission and I assume all responsibility for the health and physical condition and ability of Participant to so participate. In the event of circumstances that indicate that Participant is in need of immediate medical care, I authorize and give permission for Participant to be transported to a hospital/clinic/medical facility for evaluation and emergency medical or surgical treatment, including any necessary X-ray examination. I authorize any licensed physician or medical center to treat Participant. I accept full responsibility for any medical or hospital bills associated with the care of Participant. Medication Consent:
 

Liability Waiver: In consideration of the arrangement set forth herein, I do on behalf of myself, Participant and our respective heirs, successors, assigns and next of kin, release, waive, hold harmless, defend and covenant NOT TO SUE, Christ the King Catholic Parish/Christ the King School Name, the Archbishop of the Archdiocese of Oklahoma City, and the Archdiocese of Oklahoma City and each of their respective departments, directors, administrators, teachers, officers, agents, representatives, volunteers and employees from any and all actions, claims, demands or liabilities, including without limitation, those for personal injuries or property damage, that I and/or Participant may suffer due to illness or injury suffered by Participant as a result of, or in connection with, participation in the Activity, including the administration of authorized medications, medical treatment and any consequences that may arise as the result of said treatment, including without limitation, travel to and from the Activity, housing, meals and collateral entertainment to the fullest extent permitted by law.