Basketball Skills & DRills

Medications:
My child is taking medications presently. I will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage. See my notes below.

Emergency Medical Treatment:
In the event of an emergency, I hereby grant permission to transport my child(ren) to a hospital for emergency medical or surgical treatment.  I wish to be advised prior to any further treatment by the hospital or doctor.  In the event of an emergency, if you are unable to reach me at the numbers listed, contact:

Please indicate if you permit your child's picture to be used in HFA/HFC photos and videos for our website and printed materials.

I grant permission for my child to participate in this parish activity. This activity will take place under the guidance and direction of parish employees and/or volunteers from Holy Family Church and Academy.

As a 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 Holy Family Church and Academy, its officers, directors and agents, and the Archdiocese of Saint Paul and Minneapolis, coaches, chaperones, or representatives associated with the activity for reasonable attorney's fees and expenses arising in connection therewith.

By submitting this form, you acknowledge that you have read and understood the agreement and agree to all its terms and conditions.

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