St. John Chrysostom, Wallingford, PA
0% Family Address

In case of Medical Emergency, I understand that, in the event medical treatment is required, every effort will be made to contact me or the emergency contact person(s) designated on this form. However, if I cannot be reached, I give permission to the staff to secure the services of a licensed physician to provide the care necessary, including hospitalization, anesthesia, injection or surgery, for the well-being of my child(ren) enrolled on this form. I hereby agree to indemnify and hold harmless St. John Chrysostom Catholic Church, the Archdiocese of Philadelphia, and its officers, employees and volunteer staff from any liability.