LifeTeen  Registration

If the parents or guardians cannot be contacted in case of serious injury or illness, I authorize St. James Staff to take emergency action deemed necessary, including the transportation of the student to a hospital or medical center. As a parent or guardian, I authorize the treatment by a qualified and licensed medical doctor of the minor(s) listed in this registration in the event of a medical emergency that, in the opinion of the attending physician, may endanger his/her life, cause disfigurement or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.

I hereby authorize and give my full consent to St. James Parish the use of my child(ren)’s image (photographs, video, and/or audio) and further agree that St. Jams Parish may use these photographs, video or audio files for promotional materials.

I hereby give permission to my son/daughter, mentioned above, to participate in activities sponsored by St. James. I hereby release and indemnify the Archdiocese of Chicago, St. James for this event, its staff and volunteers; and the Catholic Bishop of Chicago, a corporation sole, from any and all liability arising from claims of any kind or nature whatsoever from my child’s participation in the program. I understand that if my child violates any laws regarding possession of alcohol or drugs, or rules governing the event, I will be called and notified about situation and/or arrangements made to send my child home at my expense.

I acknowledge the contagious nature of COVID-19 and that my child(ren) and I may be exposed to or infected by COVID-19 by participating in Lifeteen at St. James and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at St. James may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Parish/School employees, volunteers, and program participants and their families. Considering the foregoing, however, I grant permission for my child(ren) to participate in this parish activity that may require transportation to a location away from the parish site, notwithstanding the risks associated with the COVID-19 virus and group activities.