Weibel Elementary School Pto Parent Approval and Waiver

WEIBEL ELEMENTARY SCHOOL PTO PARENT APPROVAL AND WAIVER

Please return to school by Friday, October 1st, 2010 (Required for all PTO activities, including the Wildcat Run)

, (“The minor”) has my/our permission to participate in all Weibel Elementary School PTO sponsored events during the 2010/2011 school year. I/We as parent(s) or guardian(s) of the minor release and forever discharge Fred E. Weibel PTO and all PTO officers, employees, and agents, acting officially or otherwise, from any and all claims, demands, actions or causes of action. I/we certify that knowledge and belief, the Minor is in good health and able to participate in PTO sponsored activities. In case of illness or accident, permission is granted for emergency treatment to be administered. I/We will assume full responsibility for any such action, including the payment of costs. The Minor has the following allergies, reactions to medicines, or unusual physical conditions which should be made known to a treating physician and I/We certify that this list is complete to the best of my/out knowledge: (if none, please write “none”)

Parent’s Name Signature Phone # ______

Child’s Name Teacher/Grade ______Room No ______.

Date ______Any question? Please contact Shilpa Verma: [email protected]

WEIBEL ELEMENTARY SCHOOL PTO PARENT APPROVAL AND WAIVER

Please return to school by Friday, October 1 st , 2010 (Required for all PTO activities, including the Wildcat Run)

, (“The minor”) has my/our permission to participate in all Weibel Elementary School PTO sponsored events during the 2010/2011 school year. I/We as parent(s) or guardian(s) of the minor release and forever discharge Fred E. Weibel PTO and all PTO officers, employees, and agents, acting officially or otherwise, from any and all claims, demands, actions or causes of action. I/we certify that knowledge and belief, the Minor is in good health and able to participate in PTO sponsored activities. In case of illness or accident, permission is granted for emergency treatment to be administered. I/We will assume full responsibility for any such action, including the payment of costs. The Minor has the following allergies, reactions to medicines, or unusual physical conditions which should be made known to a treating physician and I/We certify that this list is complete to the best of my/out knowledge: (if none, please write “none”)

Parent’s Name Signature Phone #______

Child’s Name Teacher/Grade ______Room No.______

Date ______Any question? Please contact Shilpa Verma: [email protected]