St. Therese Chinese Catholic School Activity Registration Form

St. Therese Chinese Catholic School Activity Registration Form

Registration forms for extracurricular activities. Form Preview
  • 2017 Sports Registration Form

    218 W Alexander St
    Chicago, IL 60616
    Phone: (312) 842-6777
    Fax: (312) 567-1389
    StTherese@archchicago.org

  • Athlete Information

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  • Emergency Contact & Health Insurance Information

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  • Parental Permission For Emergency Treatment

    In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to:
    I give consent for the facility to secure any and all necessary emergency medical care for my child.

  • Release of Liability

    Although the safety of all sport activities is the primary concern,activities at St. Therese Chinese School's athletic and extra curricular facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the St. Therese Catholic School and the persons in charge.

  • After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at StTherese@archchicago.org.

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