Parental Permission Form

Address
In the case of medical emergency, I understand that every effort will be made to contact the parent(s) or guardian of my child. In the event I cannot be reached , I hereby give permission to the physician attending my child to hospitalize, secure proper and necessary treatment for my son/daughter, as named herein. I hereby agree that no liability is assumed by the Archdiocese of Boston or the Saugus Catholics Collaborative (Saint Margaret/Blessed Sacrament Parishes) for the claims which may arise from this activity.
 
Name of the authorized person to pick up your child:
I hereby give my permission for my child(ren) to be photographed, or their image recorded for print or electronic use.
Phone number