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St. Katharine Drexel Prep School
2020 - 2021 Parental/Guardian COVID 19 Consent Form and Liability Waiver

Please complete one form for each child enrolled at St. Katharine Drexel Prep School.
The maximum number of form submissions has been reached. This form is currently not available.
- Student's Name
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Student's Grade
- Choose the student's current classification for the 2020 - 2021 school year REQUIRED Please fill out this field.
- Parent/Guardian Contact Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Primary Email Address REQUIRED Please fill out this field. Please enter valid data.
- Secondary Email Address Please enter valid data.
- Mobile/Primary Number (including Area Code) REQUIRED Please fill out this field. Please enter valid data.
- Home/Secondary Number (including Area Code) Please enter valid data.
- Work Number (including Area Code) Please enter valid data.
- The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and as a result, social distancing is recommended. St. Katharine Drexel Prep School will endeavor to at all times reasonably and to the best of its ability follow state and local standards of conduct and has put in place reasonable preventative measures to reduce the spread of COVID-19 at school. However, even though such standards will be reasonably followed and reasonable measures put into place, St. Katharine Drexel Prep School cannot guarantee that you or your child will not become infected with COVID-19. Further, you understand and acknowledge that attending St. Katharine Drexel Prep School could increase your risk and your child’s risk of contracting COVID-19.
  
  By completing this form, I acknowledge the contagious nature of COVID-19 and that my child and I may be exposed to or infected by COVID-19 by attending St. Katharine Drexel Prep School and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at St. Katharine Drexel Prep School may result from the actions, omissions, or negligence of myself and others, including, but not limited to, school employees, volunteers, and program participants and their families.
- Please check if it applies: I confirm that there are no necessary changes to the Medical Informaiton for my child that I previously submitted. If there are any necessary changes, I will submit those changes to the school
- I further agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to release, indemnify, and hold harmloess St. Katharine Drexel Prep School and The Roman Catholic Church of the Archdiocese of New Orleans, their members, directors, officers, employees, agents and representatives ("Indemnitees") associated with the event arising from or in connection with the negligent acts or omissions of the Indemnitees ONLY in regard to prevention of the spread of the COVID-19 virus.
- Please choose the applicable box below: REQUIRED Please fill out this field.
- Please check if it applies: Considering the foregoing I grant permission for my child to attend St. Katharine Drexel Prep School notwithstanding the risks associated with the COVID-19 virus and group activities.
- I SPECIFICALLY ACKNOWLEDGE AND AGREE TO THE FOREGOING. * REQUIRED YES NO Please fill out this field.
- Input your name here to provide consent: Please enter valid data.
- Best contact number to be reached at: REQUIRED Please fill out this field.
- Thank you for completing the COVID waiver form for the 2020 - 2021 school year.
- Confirmation Email REQUIRED Please fill out this field. Please enter an email address.
Submit

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