As a parent or guardian of a student requesting to voluntarily participate in a field trip, I hereby acknowledge that I have read, understood and agreed to the following: Great Careers Event Field Trip Destination Mary Queen of Peace I hereby give my permission for
who attendslssaquah
to participate in a field trip on (date)
(Pri¡t Sfudent's Name) . Time involved:From tl6 I nrc
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High School
(School Name)
f..lo To trôo ?14 - tlf
District Vehicle by district staff District is not providing transportation. Parents arrange transportation for their student. Private Vehicle by district staff Private Vehicle by Volunteer¿Parent (volunteer driver checklist on file) . tr Other (e.g. - walk, metro bus, air, train) Description Student's address City Parent's Phone: Home Cell Student Birthdate Family Physician: Phone # Medical conditions, medication information or allergies the district should be made aware of:
In the event of an emergency, I wish the following person to be notified in case I cannot be contacted: Name Phone #
I understand that all school and district policies are in effect on this trip. I understand that this is a school sponsored activity and is governed by the Policies and Procedures of the School District I acknowledge that this activity entails known and unanticipated risks which could result in physical or emotional injury, paralysis or death, as well as damage to propefty, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualíties of the activity. I agree to hold and save harmless the Issaquah School District, its School Board and Employees, and assigns for any claims, suits or damages (includíng but not limited to defense and indemnifìcation) which might result from my child participating in the above-described event/activity.
activiÇ.
I ceftify that my child
has no medical or physical conditions which could interfere wíth his/her safety Ín this
I authorize qualified emergency medical professionals to examine and in the event of injury or serious illness, administer emergency care to the above named student. I understand every effort will be made to contact me to explain the nature of the problem prior to any involved treatment. In the event it becomes necessary for the school district staff-in-charge to obtain emergency care for my student, neither s/he nor the ISD district assumes financial liabilíty for expenses incu rred because of the accident, injury, illness andlor unforeseen circumstances. I understand that I e for any costs associated with an accident child has tnsurance lTo be completed by ISP E¡
sþfn- Required attachments
checked below:
Chållenge/Ropes Course Release
!
Water Activity Release f]
Being fully informed as to these risks, I hereby consent to my child participating in this Field Trip. Signature of Parent/Guardian
Adopted: L2/92 lssaquah School District 411
Date
WorkiDaytime Phone Last Revised: 3.16.05; 9.2.05; 08.06.09; 10.f6.13
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(3) Transportation Department will forward approved form to the. Superintedent's Office. Page 1 of 1. Field Trip Request.pdf. Field Trip Request.pdf. Open. Extract.
Page 1 of 1. Page 1 of 1. Field-trip-permission.pdf. Field-trip-permission.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Field-trip-permission.pdf.
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Page 1 of 1. We understand the arrangement for taking your group to. We believe the necessary precautions and plans for the children's care have been made. We feel that reasonable vigilance in the care and supervision of the children during the. trip
Page 3 of 3. Whoops! There was a problem loading this page. Retrying... Field Trip & Activities Form.pdf. Field Trip & Activities Form.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Field Trip & Activities Form.pdf. Page 1 of 3.
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Page 1 of 1. Library Field Trip Form.pdf. Library Field Trip Form.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Library Field Trip Form.pdf.
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The District shall make no distinction between absences for UIL activities and absences for other extracurricular activities approved by the Board. A student shall be allowed in a school year a maximum of ten extracurricular absences not related to p
Work/Daytime Phone. April 18-22/23, 2017. Student Cell Number: Being fully informed as to these risks, I hereby consent to my child participating in this Field ...