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Vacation Bible School Parent/Guardian Permission Form

  • As parent or guardian of the above named student, I give permission for my child to participate in the field trip described as follows:
    Parish/School:
    St. Matthias Congregation
    Date of Trip:
    Monday, June 18th – Friday, June 22nd 2018
    Destination/Activity:
    Vacation Bible School - St. Matthias Campus - Combination of games, music, crafts, snacks, and storytelling
    A separate detailed itinerary and parent consent must be provided for high risk activities.
  • DESIGNATED TEACHER/SURPERVISOR:
    Tom Gallagher (Coordinator of Lifelong Faith Formation)
    PHONE:
    (414) 982-2405
    MODE OF TRANSPORTATION:
    N/A
    DEPARTURE TIME:
    8:30 AM
    RETURN TIME:
    12:00 PM (noon)
    STUDENT COST (IF APPLICABLE):
    Free
    PLEASE COMPLETE FORM AND RETURN BY:
    Friday June 8th, 2018 - Return to Parish Office Attn: Tom Gallagher

  • MEDICAL INFORMATION AND RELEASE

    In the event of an emergency, I give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor.

    On field trips that occur during the length of the school day, any prescription medication already provided to the school will be carried and administered by staff.

    If you are unable to reach a parent/guardian at the above number, contact:

  • *Please include food allergies*
  • Drop Off & Pick Up Information – Please include the names and contact information of all people (other than parents/guardians already listed) who will be responsible for picking up your child(ren).


  • FIELD TRIP CONSENT AND RELEASE

    In consideration for my child/ward’s participation, I agree to reimburse and indemnify the parish/school for all reasonable legal and court fees incurred by parish/school in defending a lawsuit that I or my child/ward may bring against the parish/school Which relates to the above named activity if the parish/school is found not legally liable by the courts and prevails in the lawsuit. If the parish/school is found legally liable for injuries sustained by child/ward, this paragraph will not apply.

    I certify that I have an understanding of this agreement and any risks and hazards associated with the activity described above that my child/ward will be participating in. I further understand that I had the opportunity to fully discuss this agreement with a representative of the parish/school to clarify any concerns or questions about the activity or this agreement that I may have had.

  • By entering my full name, I attest that this constitutes my legal electronic signature on this form.
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