FAMILY MEDICAL & EMERGENCY CONTACT INFORMATION
Emergency Medical Treatment: 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. In the event of an emergency, if you are unable to reach me at the above numbers, contact:
In the event it comes to the attention of Guerin Catholic directors and agents, and the Diocese of Lafayette-in-Indiana, coaches, chaperones, or representative associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I will be called.
I understand that photos will be taken during the Camps and used for Camp Purple promotional materials and advertising. I understand that my child’s name will not be identified with any photos.
I grant permission for my child(ren) to participate in Camp Purple. 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.
I agree that I will NOT send my child to Camp if they have experienced any of the following symptoms of COVID-19 listed below or have been a close contact of a diagnosed case of Covid within the past 14 days:
- Fever or chills
- Shortness of breath or difficulty breathing
- Muscle or body aches
- New loss of taste or smell
- Sore throat
- Congestion or runny nose (with the exception of allergy sufferers)
- Nausea or vomiting
I am aware of the risks involving COVID-19 and other infectious diseases that exist from coming onto the campus of Guerin Catholic and I choose to accept any all all responsibility as a result of my child being on campus.
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.