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Archdiocese of Dubuque
Annual Parental/Guardian Consent Form and Liability Waiver
This Consent Form and Liability Waiver is required for and serves both on-site programs and offsite/
field trip events/activities for the stated program year. This form needs to be completed annually for
each student. To obtain the needed permission, contact, emergency and medical information you are
requested to supply the needed information. As the specifics of each off-site/field trip event are known
you will be required to complete an Off-site/Field Trip Permission Form outlining the specifics of each
activity. Please complete all sections.