| Home About Us Administration/Faculty Calendars Classroom Happenings Holy Family Church Newsletters Parent Information Student Information |
Holy Family School Field Trip Permission Slip A field trip is being planned for:_____________________________________________ Date of trip: Trip description & educational (include objectives) purpose (include place(s) to be visited, type of event) __________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Student’s Name: ________________________ DOB: ___________________ Parent/Guardian’s Name: __________________________________________ Home address: _______________________ Home Phone: ________________ Work: ___________ I, _________________ as the parent/guardian, grant permission for my child, ____________, to participate in the following activity at a location away from the school. This activity will take place under the guidance and direction of school employees and/or volunteers from Holy Family School: Destination of event: _____________________________________________________ Individuals in charge: ____________________________________________________ Estimated time of departure and return: _____________________________________ Mode of transportation to and from the event: ________________________________ My child is to bring the following items: _____________________________________ I understand the risks such a trip presents to my child, including. But not limited to, serious personal injury or death. Any questions I have concerning this activity have been answered. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor ("participant"). In consideration for my child being allowed to make this trip, I hereby RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS the Diocese, the parish, the school and all their employees and agents, and the volunteers assisting the school, from any and all liability for injuries, damages, medical expenses, or any loss to my child or family or me (including attorneys’ fees) arising from or related to my child’s participation in this activity, ___________________________ ______________ ____________________________ parent signature date parent signature Please read this permission slip - parent signatures and date of signature required. Return permission slip to school with your child as soon as possible. Failure to return this permission slip will disqualify your child from attending the field trip. |