MY CONSENT

I request that my child(ren) listed on this form be permitted to participate in the Booster Bunch program.
I, the undersigned, intending to be legally bound, do hereby, for myself, my heirs, executors, administrators, and assigns, waive and release any and all rights and claims for damages that I may have against St. Louise School and all persons acting in concert with St. Louise, from any claims for injury, loss, or damage which may be claimed against any of the foregoing in any manner by me or through my child. I attest that my child is physically fit and able to participate in Booster Bunch. I understand and agree that any medical or other services rendered to my child by or at the instance of any of the above parties is not an admission of liability to continue to provide me any such services and is not a waiver by and of said parties of any right hereunder. Furthermore, my signature below grants permission for my child(ren) to be transported to a hospital in a medical emergency when I (and my spouse if applicable) cannot be reached. I further agree to indemnify St. Louise and all persons acting in concert with St. Louise, against any judgments and reasonable costs or expenses incurred (including attorney fees) by any of the foregoing in defending any such claim or any claim made by anyone else relating to the activities of my child. I hereby grant permission to St. Louise Parish School to record, by videotape, photograph, or other means of reproduction, the voice, image, and physical likeness of my child(ren) and to use any such recorded material for promotional and marketing purposes, such as printed brochures, social media websites, and other forms of paper or electronic publications, without further consent or compensation.

Summer Learning Launch 2022 - 4th Grade