To the best of my knowledge, my child/ren is/are in good health, and I assume all responsibility for the health of my child/ren.  In the event of an emergency, I give permission for medical personnel to transport my child/ren to a hospital or emergency treatment facility.  I wish to be advised prior to any further treatment by the medical professionals, but I do not want treatment to be withheld if neither I nor any emergency contact I have named below can be located and the injury is life-threatening or the failure to provide treatment is likely to result in permanent injury.

I hereby grant medical personnel permission to release medical information to a parish representative in the event that my child becomes ill or injured.

Medication:

Medication is not administered by anyone in the Faith Formation Program. In some cases, children attending parish Faith Formation may be subject to potentially life-threatening episodes (due, for example, to allergies, epilepsy, diabetes, etc.) which would require immediate attention and action. In such cases, parents are expected to inform the Faith Formation Director concerning emergency procedures to be followed. 

1. Electronic Signature Agreement. By selecting the "Sign Here" button, you are signing the various documents and forms contained in the Registration/Liability Waiver packet electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "Sign Here" you consent to be legally bound by the various agreements, acknowledgements, and releases contained therein. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide Bishop of Charleston, a Corporation Sole dba Catholic Diocese of Charleston fbo St. Paul the Apostle Catholic Church (“Parish”) instructions via the Registration/Liability Waiver packet, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Parish.


2. Consent to Electronic Delivery. Visiting charlestondiocese.org, saintpaulseneca.org, or any of their subdomains or sending emails to electronic mailboxes hosted on the charlestondiocese.org or saintpaulseneca.org domains constitutes electronic communications. You agree to receive electronic communications and you agree that all agreements, notices, disclosures and other communications that we provide to you electronically, via email, satisfy any legal requirement that such communications be in writing. You acknowledge that, for your records, you are able to retain electronic communications by printing and/or downloading and saving them that you agree to using your E-Signature. You accept Electronic Communications provided via email as reasonable and proper notice, for the purpose of any and all laws, rules, and regulations, and agree that such electronic form fully satisfies any requirement that such communications be provided to you in writing or in a form that you may keep.

Fees: 1 Child: $30  |  2 Children: $40  |  3 Children: $50  | 4+ Children: $60
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