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  • Parent Permission Form for Off Campus Events
  • • Student(s) Please fill out this field.
    • Student Name 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Student Name 2
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Student Name 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Student Name 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Off Site Field Trip REQUIRED Roller Skating at Great Skate Please fill out this field.
  • If you would like your child to participate in this event, please review, e-sign and date this form below.  The following statement of consent and release of liability. As parent or legal guardian, you remain fully responsible for the actions and conduct of your child.
    ************************STATEMENT OF CONSENT*********************
    I hereby consent to participation by my child(ren), listed above, in the event described above. I understand that this event will take place away from the parish grounds and that my child will be under the supervision of the designated parish employee and/or volunteers on the stated dates. I further consent to the conditions stated above on participation in this event, including the method of transportation.
    In consideration of my child being allowed to participate in this off campus event, I hereby agree on behalf of myself and my child, to release St. Monica Parish, the Roman Catholic Diocese of Kalamazoo, and any and all affiliated organizations, their employees, agents and representatives, including volunteer drivers (collectively “Releasees”), from any and all claims, including negligence, which may be asserted by me or my child, or on behalf on my child, arising from or relating to my child’s participation in the off campus event. In the event this release on behalf of myself and/or my child is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the off campus event. This release or indemnification does not apply to claims for intentional misconduct or gross negligence; nor does this release or indemnification apply to the extent of commercial
    insurance coverage for any claim, but this Release or Indemnification shall apply to the extent of any self-insurance or deductible applicable to any claim.
  • I Agree Please select this field.
  • Parent Electronic Signature REQUIRED Please fill out this field. Please enter valid data.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Date REQUIRED Please fill out this field. Please enter a date.

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