Holy Cross Youth Ice Cream Party

Wednesday, 28 September
Address: 5653 W Riverpark Dr, Sugar Land, TX 77479
Drop-Off student: 6 PM
Pick-Up student: 7:30 PM
 
 
 
 
 
 
By submitting this form, you as a parent/guardian are providing the following parental consent:



I hereby give permission for my child to attend and participate in Holy Cross Youth Ice Cream Party on September 28, sponsored Holy Cross Episcopal Church 




I confirm that my child is healthy and capable of participating in this event.  I also confirm that my child is covered by medical insurance, or, if medical insurance is not available, I agree that I will be personally responsible for the costs of any medical treatment deemed necessary. 




I hereby release, relieve, indemnify, and hold harmless Holy Cross Episcopal Church Diocese of Texas and its bishops, clergy, event coordinators, youth leaders, employees, representatives, and agents from any and all liability for any injury, illness, or property damage associated with my child's participation in this activity or travel associated with this event. 




In the event that my child should require medical treatment and I cannot be contacted immediately, or if contacting me is not feasible because of an emergency, I hereby give my consent to such treatment.




I acknowledge and confirm that the information listed on my child's application is true and accurate

I understand that photos or videos of my child and others may be taken during the event, and I consent to the use of my child's photo or likeness by Holy Cross Episcobal in promotional materials.
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Description

Wednesday, 28 September
Address: 5653 W Riverpark Dr, Sugar Land, TX 77479
Drop-Off student: 6 PM
Pick-Up student: 7:30 PM