Please note any allergic reactions (medications,foods,plants,insects,etc) or any special medical conditions we should be aware of your child, such as any physical limitations, a medically prescribed diet, and/or has your child recently been exposed to any contagious disease or conditions, such as mumps, measles, chickenpox, etc.? if so, please provide the disease or condition:

Please note any allergic reactions (medications,foods,plants,insects,etc) or any special medical conditions we should be aware of your child, such as any physical limitations, a medically prescribed diet, and/or has your child recently been exposed to any contagious disease or conditions, such as mumps, measles, chickenpox, etc.? if so, please provide the disease or condition:

Please note any allergic reactions (medications,foods,plants,insects,etc) or any special medical conditions we should be aware of your child, such as any physical limitations, a medically prescribed diet, and/or has your child recently been exposed to any contagious disease or conditions, such as mumps, measles, chickenpox, etc.? if so, please provide the disease or condition:

I grant permission for my child(ren) to participate in the Spring Basketball Clinic. This activity will take place under the guidance and direction of all instructors who have met the screening and approval of Guerin Catholic High School. 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 Guerin Catholic, its officers, directors and agents, and the Diocese of Lafayette-in-Indiana, coaches, chaperones, or representatives associated with the event, 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 school, its officers, directors and agents, and the Diocese of Lafayette-in-Indiana, coaches, chaperons, or representatives associated with the activity for reasonable attorney’s fees and expenses arising in connection therewith.