*I hereby acknowledge that I am the parent or legal guardian of the above child and give him/her my permission to participate inactivities planned at Our Lady of the Valley Catholic Church and locations within the local area during the scheduled program times and dates. I understand that reasonable precaution will be taken to safeguard the health and safety of the participant and that the designated emergency contact person will be notified as soon as possible in case of emergency. In the event of any sickness or accident I will not hold Our Lady of the Valley Catholic Church, the Archdiocese of Denver, any volunteer, chaperone, or driver responsible. I authorize and consent that emergency treatment be rendered under the general or specific supervision and on the advice of any physician, dentist, or surgeon licensed to practice in the State of Colorado. The undersigned understands and agrees that any medical, dental, or hospital expenses incurred shall be at his/her own expense. The undersigned understands every effort will be made to notify the emergency contact in the event that treatment is necessary.