Parental/Guardian Consent Form and Liability Release

*You must accept the terms of this statement in order for your student to participate at St. Augustine HSE.

I grant permission for my child(ren) and/or minors in my care to participate in activities at St. Augustine HSE that will take place under the guidance and direction of ARCH representatives.

I agree on behalf of myself, my child(ren), and my family and representatives, to hold harmless ARCH-Raleigh: its officers, directors and agents, and other representatives, from any and all actions, claims, demands, damages, costs, expenses and all consequential damage arising from or in connection with my child(ren) and/or any minors in my care attending the event or in connection with any illness, injury, disability, death, or cost of medical treatment in connection therewith.

In the event of an emergency, I hereby give permission to administer emergency treatment and/or to transport my child(ren) and/or minors in my care to a hospital for emergency medical or surgical treatment.

COVID-19 Waiver: I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I, my child(ren), and/or minors in my care may be exposed to or infected by COVID-19 due to actions, omissions, or negligence of ARCH representatives. I accept sole responsibility for any illness, injury, disability, or death of my child(ren), my family, and/or minors in my care, including all claims that may arise resulting from any of these.

I acknowledge that this release waiver is intended to be as broad and inclusive as permitted by the law of the State of North Carolina and that if any portion thereof is held invalid, the balance shall continue in full legal force and effect.

  I accept; this constitutes my signature
I do not accept; my family will not participate