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Note: If you do not have an Adult Chaperon Application/Verification Form, please contact your group leader or email@example.com.
** Please review the Liability Waiver below and sign in the provided box if you agree to these terms.**
**Parent Signature Required.**
Agreements & Liability Release:
Emergency Medical Treatment:
In the event of an emergency, I hereby give permission to the hosts of the Steubenville On The Bayou Catholic Youth Conference, its directors, agents, volunteers, and representatives associated with this event to transport my child to a hospital to receive emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.
I relieve the hosts of the Steubenville On The Bayou
In signing this Agreement, I hereby acknowledge and represent that I have read this entire document, that I understand its terms and provisions, that I understand it affects my legal rights, that it is a binding Agreement, and that I have signed it knowingly and voluntarily.
To sign,left-click anywhere in the box above and hold down while using your mouse or trackpad to draw your signature.Click the 'Clear Signature' button to start over.