(*Legal Guardian. Please initial you have read each paragraph in space provided) Dear Parent/Legal Guardian: In consideration of School District No. 87 Offering my Child, ______________________________________________ (Name) an opportunity to participate in a field trip on _____________________________________ (Date) I waive any and all claims I may have against and release all liability and agree not to sue the Board of Education of School District No. 87 ( Stikine) and it officers, employees, agents, volunteers and representatives, and the Ministry of Education for any personal injury, death, property damage or loss sustained as a result of my in the field trip arising out of any cause child’s participation whatsoever. I herby give consent, and acknowledge by my signature that students will be going to : and will be away from the school from (Location) to (Date and time) (Date and Time) They will be traveling by (school bus/public transport/private vehicle). Initial* Description of field trip and relevant information: ( description of the activity; necessary skills/competencies; training and safety equipment required) Initial* Supervision: ( Description of what levels of supervision will/will not be provided.) Initial* My child has no illnesses, allergies or disabilities that would preclude him/her from participating, except as described here: Initial* Page 1 of 2
(*Legal Guardian. Please initial you have read each paragraph in space provided) Dear Parent/Legal Guardian: In consideration of School District No. 87 Offering my Child, ______________________________________________ (Name) an opportunity to participate in a field trip on _____________________________________ (Date) I waive any and all claims I may have against and release all liability and agree not to sue the Board of Education of School District No. 87 ( Stikine) and it officers, employees, agents, volunteers and representatives, and the Ministry of Education for any personal injury, death, property damage or loss sustained as a result of my child’s participation in the field trip arising out of any cause whatsoever. I herby give consent, and acknowledge by my signature that students will be going to : and will be away from the school from (Location) to (Date and time) (Date and Time) They will be traveling by (school bus/public transport/private vehicle). Initial* Description of field trip and relevant information: ( description of the activity; necessary skills/competencies; training and safety equipment required) Initial* Supervision: ( Description of what levels of supervision will/will not be provided.) Initial* My child has no illnesses, allergies or disabilities that would preclude him/her from participating, except as described here: Initial* Page 1 of 2
Field%20Trip%20Form%20-%20Extended.docx