High School

I certify that I am the custodial parent/legal guardian of the minor children listed above. In the event of sickness or medical emergency where I am not present and cannot be reached, I request that my child(ren) receive any medical attention or treatment deemed necessary by the Staff or Volunteer leaders of St. Patrick – St. Anthony Parish. The above-named child(ren) has my permission to travel for medical treatment in a privately-owned vehicle or ambulance. In addition, I do hereby authorize treatment by a qualified and license Medical Doctor in an emergency which, in the opinion of the attending physician, may endanger the child’s life, cause disfigurement, physical impairment, or undue discomfort if delayed.

I (Parent/Legal Guardian) give consent for the youth minister, Makenzie Conner, to contact my children listed below between the ages of 7th-12th grade. Via text message, calling, and email at the below information.