Student/s Information Section

Informed Consent and Acknowledgement I hereby give my approval for my child/ren participation in any and all activities prepared by Holy Cross Catholic Church during the 2023 - 2024 Faith Formation Year. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Holy Cross Catholic Church, and all its respective officers, staff, and volunteers from any and all liability for injuries to said child/ren arising out of participation in any of the sessions. In case of injury to said child/ren, I hereby waive all claims against Holy Cross Catholic Church and its respective officers, staff, and volunteers.

Medical Release and Authorization As Parent and/or Guardian of the named student, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention. Permission is hereby granted to the attending physician to proceed with any medical treatment of the named student. Permission is also granted to the Holy Cross Catholic Church, including Directors, staff, and volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season for the Faith Formation Year of 2023 - 2024. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of the named minor child, in my absence.

VIRTUS Program Teaching Safety - Empowering God's Children

The Archdiocese of Atlanta is committed to helping children and young people learn and grow in a healthy and safe environment. Holy Cross Catholic Church complies with Archdiocesan Safe Environment policies and procedures.

In accordance with the U.S. Bishop's Charter for the Protection of Children and Young People, the VIRTUS program Teaching Safety - Empowering God's Children is used in the Archdiocese of Atlanta. Students in grades Kindergarten through 12th grade participate in one or two lessons each year.

All employees, and volunteers who regularly work with minors receive the Safe Enrironment training, as well as ongoing training and background screening. More information can be found in the Archdiocese of Atlanta website at https://archatl.com/ministries-services/safe-environment/ .

Confirmation and Acknowledgement of the Above Information

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.