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I understand that I assume the risks inherent in the field trip or other activity outside of my child’s school, and with full knowledge of the risks, I, and my heirs, successors and assigns, release and agree to hold harmless and defend _Notre Dame High School_Inc., The Diocese of Allentown, Most Reverend Alfred A. Schlert, D.D., J.C.L. the Roman Catholic Diocese of Allentown Charitable Trust, and all of their respective members, trustees, directors, officers, employees and representatives, including chaperones, volunteers or any other representatives associated with that activity (all of whom are separately and collectively referred to as the Diocese) from claims from or related to my participation, or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the Diocese for reasonable attorney’s fees and expenses incurred by the Diocese in any action brought against the Diocese as a result of such injury or damage, unless such claim results from the negligence of the Diocese.
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I hereby warrant that to the best of my knowledge, I am in good health, and I assume responsibility for my health.
In the event of an emergency, I hereby give permission to be transported to a hospital for emergency medical or surgical treatment. In the event of an emergency, contact:
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