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E3 Outdoor Odyssey Payment Form


Class of 2027: Outdoor Odyssey Summer 2024

Student's Namerequired
First Name
Last Name
Parent/Guardian 1 Namerequired
First Name
Last Name
Suffix (optional)
Parent/Guardian 2 Name
First Name
Last Name


I, the parent or guardian of the above-mentioned child, give permission for my child to participate in the above-mentioned event, to be held on the date shown.


In consideration of the sponsoring school’s agreement to allow my child to participate in the above event, and intending to be legally bound hereby, I agree to indemnify and hold harmless the sponsoring school and the Roman Catholic Diocese of Pittsburgh, their agents, successors and legal representatives, from any and all claims, demands, and actions at law or inequity that may hereafter at any time be brought by myself, my child or anyone acting on her behalf from any and all liability for personal injury (including death) and property losses or damage sustained by my child as a result of, or in any way related to her participation in the above event.

In addition to releasing Oakland Catholic High School and the Diocese of Pittsburgh from any liability due to occurrences during the event described above, I also release the group leader and the other chaperones from personal liability for consequences incurred due to the behavior of my child while traveling with the group or any other incident.


This program has been designed for the benefit of all campers attending. The teachers, group leader(s), coach(es), and chaperone(s) will be responsible for insuring that the campers adhere to the schedule of the program. I agree that in case of injury to my child, I will apply my hospitalization and accident insurance toward payment of the expenses incurred and will not look to the sponsoring school or the Roman Catholic Diocese of Pittsburgh for payment of any medical costs or injury related costs.


In the event of any injury or illness to my child during her participation in this camp, I hereby give my permission for the necessary medical treatment to be given to my child. I, for myself, for my child our respective heirs, and my respective legal representatives, do hereby indemnify and hold harmless any representative of the sponsoring school from any and all claims, demands and causes of action of whatever kind and nature for their actions taken pursuant to this authority.

I have read and understand the Outdoor Odyssey permission slip.required

In Case of Emergency

Must contain a date in M/D/YYYY format
If your child is not feeling well do you give the OC chaperones permission to dispense Tylenol (or a generic supplement)?​required
Do you give the OC chaperones Permission to send your child to the hospital in case of an emergency?​required
Must contain a date in M/D/YYYY format

Payment Information

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