Virtue Through Sports

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
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  Grade as of Fall 2026 REQUIRED Please fill out this field. Please enter valid data.
  
  Parent 1 Name REQUIRED Please fill out this field. Please enter valid data.
  
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  For parents of children currently taking medications:
  I will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage. See my notes below.
  
  Check a box: REQUIRED My child is taking medications presently; I understand and agree to the above terms and will fill out the below field accordingly. My child is not taking medications presently. Please fill out this field.
  
  Medications my child is currently taking (if applicable)
  
  Allergies/Other Medical Conditions REQUIRED Please fill out this field.
  
  Family Health Plan Carrier Number Please enter valid data.
  
  Family Doctor and Phone Number Please enter valid data.
  
  Emergency Medical Treatment:
  In the event of an emergency, I hereby grant permission to transport my child(ren) to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, please call the emergency contact listed below.
  
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  Emergency Contact first and last name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Child REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Please indicate if you permit your child's picture to be used in HFA/HFC photos and videos for our website and printed materials. REQUIRED Yes, I grant permission No, I do not grant permission Please fill out this field.
  
  Permissions
  I grant permission for my child to participate in this parish activity. This activity will take place under the guidance and direction of parish employees and/or volunteers from Holy Family Church and Academy.
  
  As a parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor ("participant"). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Holy Family Church and Academy, its officers, directors and agents, and the Archdiocese of Saint Paul and Minneapolis, coaches, chaperones, or representatives associated with the activity for reasonable attorney's fees and expenses arising in connection therewith.
  
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