09/09/2017
Recreation/Education Trip 2017
PARENTAL AUTHORIZATION AND ACKNOWLEDGEMENT OF RISKS
I understand that participation in this field trip is voluntary, that it is not required, and that it exposes my child to some risk(s). I also understand that the trip may include amusement activities and that participation in any amusement activities will expose my child to some risk of injury of any nature. If God forbid something happen to my child the school’s authorities will not be held responsible for that.
I authorize my child to participate in the planned components of the field trip by my signature below
Name: __________________________________ Phone: __________________
Signature of Parent/Guardian: ___________________
Date: _____________________
I am aware that when I am on a school sponsored trip, I am under the jurisdiction and supervision of the school employed chaperones (PTI/Teachers) and that my behavior must conform to the Code of Student Conduct and reasonable instructions from chaperones. I understand I will be subject to appropriate disciplinary action for violations of these rules and regulations.
Signature of Student Date
