St. Francis de Sales Church

Archdiocese of Cincinnati - Permission, Release, and Authorization to Seek Medical Treatment 

1. I, the custodial parent/legal guardian of the above listed child(ren), give permission for my Child to participate in the activity described on the Activity Information Form (the “Activity”) and release from all liability, indemnify, and hold harmless St. Francis de Sales Parish and School, the Archdiocese of Cincinnati (the “Archdiocese”), the Archbishop of Cincinnati (the “Archbishop”), both individually and as trustee for the Archdiocese, all parishes and schools within the Archdiocese, and all of their agents, representatives, volunteers, and employees from any and all liability, claims, judgments, damages, costs and expenses, including attorneys’ fees, arising out of any injury, illness, infectious and/or communicable disease (such as MRSA, influenza, or COVID-19), or death, (including any injury, illness, infectious and/or communicable disease, or death  caused by the negligence of Parish and School, the Archbishop, the Archdiocese, any parish or school within the Archdiocese, or any of their agents, representatives, volunteers, or employees) incurred by my Child while participating in the Activity, traveling to or from the Activity, or while using the facilities and equipment of the Parish and School.  I further agree not to bring or prosecute or allow to be brought or prosecuted (including, but not limited to, prosecution through subrogation) in my name, or on behalf of my Child, any claims, lawsuits, or actions against Parish and School, the Archbishop, the Archdiocese, all parishes and schools within the Archdiocese, or their agents, representatives, volunteers, and employees.

2. I understand that my Child’s participation in the Activity is purely voluntary and is a privilege and not a right, and that my Child, and I on behalf of my Child, agree to my Child’s participation in the Activity in spite of the risks of injury, illness, infectious and/or communicable disease (such as MRSA, influenza, or COVID-19), and death.  I agree that if my Child has underlying heath concerns which may place him/her at greater risk of contracting COVID-19 or that would possibly increase the severity of illness if COVID-19 is contracted, then my Child and I will consult with a health care professional before participating in the Activity. 

3. I agree to instruct my Child  to cooperate with the Archbishop or his agents in charge of the activity.

4.  I authorize the agents of Parish and School and/or the Archdiocese who are acting as leaders of the Activity to seek medical treatment for my Child in the event of any injury, illness, or medical emergency during the Activity or related travel.  I understand that the agents of Parish and School and/or the Archdiocese will make a reasonable attempt to contact me as soon as possible in the event of a medical emergency involving my Child.

8. Parish and School, the Archdiocese, the Archbishop and their agents, employees, and volunteers shall have no liability whatsoever in the event the Activity is cancelled due, in whole or in part, to any present or future pandemic, epidemic, widespread disease or illness, public health concern, or circumstances arising therefrom, or from actions taken by any governmental or municipal authority to prevent, avoid, or mitigate the impacts thereof.

Activity Information

Parish School: St. Francis de Sales
Program or Group: Parish School of Religion
Starting Date: August 14, 2022
Ending Date: May 21, 2023
Registration Fee: 

• $75 per child ($85 for eighth-grade students, which includes retreat fee)
• Maximum of $235 per family. *A $10 fee applies for each 8th grader included in the family rate. (PAYMENT DUE AT TIME OF REGISTRATION)

Usual Location: St. Francis de Sales School
Usual Day and Time: Sunday 10:00 am - 10:55 am
Routine Activities: Catholic religion classes
Group Leader: P.J. Ehling/Director of Faith Formation
Telephone number:  513-932-2601 ext. 203
Email: pehling@stphilipmorrow.org