I grant permission for my child to participate in Bishop Brtue Days.  I will not hold the Archdiocese of Indianapolis responsible in the event of any injury or accident to my son while participating in Bishop Brtue Days.  I warrant that, to the best of my knowledge, my child is in good health and able to participate in all program activities.  (Please submit a statement indicating limitations and/or conditions of which we should be aware.)

I understand that all medication will remain in the possession of the adult team leader (exception:  inhaler/epi-pen) and be dispensed as prescribed.  Please note that non-prescription medication (such as Tylenol, throat lozenges, cough syrup) will not be available to your child unless you provide them for your child.  In case of medical emergency, I understand that every effort will be made to contact parents or guardian of participants.  In the event that I cannot be reached, I hereby give permission to the Mission program director to seek treatment for my son/daughter.  I hereby give permission to the medical staff to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for my child.

I understand that my child may be photographed, unidentified in group situations; and I hereby grant permission for my child to be photographed & identified for releases to The Criterion and/or Archdiocesan website and/or other promotions.