MEDICAL CONSENT & RELEASE LIABILITY AGREEMENTI hereby give permission for my child to participate in the 2024 Butler Catholic School Summer Theater Camp. I declare that I am the parent or legal guardian of the above named child, and I have custody and control of the child. In the event my child is injured or should require medical attention, I hereby request that you contact me or our emergency contact. In the event that we cannot be reached, I hereby authorize the Butler Catholic School to secure necessary medical treatment for my child. I further acknowledge that I will be responsible for any medical or hospital fees or costs associated with my child’s medical treatment. I understand that as a participant, my child may be climbing on and off of stage and set pieces. I further understand that my child may be running, jumping, dancing and varied other movements on stage. I understand that my child may be running, jumping, dancing near moveable set pieces. I assume all risks and hazards to such participation including transportation to and from rehearsals and performances and hereby waive, release, absolve and indemnify and agree to hold harmless, Butler Catholic School, its organizers, sponsors , supervisors, and participants for any claim arising out of accidental injury to my child. My typed name below confirms that I have read, understand, and agree to the terms of this Release From Liability.
(please type your full name below)
