By signing my name below, I indicate that I understand and agree with the following:

I give permission for my daughter to attend her off-campus retreat.
In consideration of the making of arrangements for this activity by Sacred Heart Academy, I hereby release and save harmless the school of Sacred Heart Academy, Louisville, Kentucky, and any and all personnel of Sacred Heart Academy from any and all liability for any injuries, loss, or other claims arising out of or resulting from this trip and activity.
We understand and support the fact that the student must comply with the directions given by the Academy to the group involved in the activity
Cancellation fee: I understand that I will be charged a non-refundable cancellation fee if I/my daughter cancels her retreat less than 7 calendar days before the first day of retreat. The amount of the fee is dependent on the grade level and type of retreat. Cancellation fees will be collected via FACTS.

January 28-31 Senior Retreat Reservation Form