Adult Hold Harmless/Indemnity Agreement Adult Hold Harmless/Indemnity Agreement ALL SAINTS CATHOLIC SCHOOLAdult Hold Harmless/Indemnity AgreementADULT CHAPERONE:* First Last DATE OF FIELD TRIP* MM slash DD slash YYYY FIELD TRIP*5/1/2023, 4th Grade (Kunka/102), Hawthorn Hollow5/15/2023, 4th Grade (Miceli/103), Hawthorn HollowDigital Signature: Parent/Guardian ConsentThe above named ACTIVITY PARTICIPANT OR FACILITY USER agrees to defend, protect, indemnify and hold harmless the above named PARISH against and from all claims arising from the negligence or fault of the above named ACTIVITY PARTICIPANT OR FACILTY USER or any of their agents, family members, officers, volunteers, helpers, partners, organizational members or associates which arise out of the above name ACTIVITY OR USAGE at the above name PARISH/SCHOOL. Additionally, the above named ACTIVITY PARTICIPANT OR FACILITY USER agrees to protect, defend, hold harmless and fully indemnify the above named PARISH/SCHOOL for any claim or cause of action whatsoever arising out of the above mentioned ACTIVITY OR USAGE which takes place during the above identified DATE(S) OF ACTIVITY OR USAGE that is brought against the PARISH/SCHOOL by the above named ACTIVITY PARTICIPANT OR FACILITY USER or their family members whether such claim arises from the alleged negligence of the PARISH/SCHOOL, its employees or agents or ACTIVITY PARTICIPANT or FACILITY USER'S Negligence.Participant Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Date* MM slash DD slash YYYY Δ
