Dorney Park Senior Class Field Trip
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SENIOR LUAU/POOL PARTY North Caldwell Town Pool Thursday, June 14, 2012
PARENTAL PERMISSION AND STUDENT CONTRACT
STUDENT NAME______
ADDRESS______
TELEPHONE______EMERGENCY PHONE NO.______
I give my student permission to travel (to and from), and participate in all activities conducted at the North Caldwell Town Pool on Thursday, June 14, 2012.
I ______(Student Name), hereby agrees to the following list of conditions while I am participating in the West Essex Senior Luau/Pool Party. CONDITIONS
I will engage only in behavior that is appropriate and acceptable as established, outlined, and reviewed by school chaperones. I understand the use, possession, and sale of alcohol and/or illegal substances is prohibited.
I will conduct myself as a cooperative and mature senior, demonstrate self-respect, respect for my fellow seniors, respect for the chaperones, respect for the other North Caldwell Pool attendees, and otherwise abide by the rules and regulations established by the school.
I will arrange transportation and arrive safely and promptly 20 MINUTES AFTER THE COMPLETION OF GRADUATION PRACTICE on Thursday morning. I understand that entrance into the Pool will be denied if I do not arrive in due time.
All parties must sign and return this form to the Senior Class Advisor, or he/she will not be permitted to go to the Senior Luau.
SHOULD ANY OF THESE CONDITIONS BE VIOLATED, I UNDERSTAND THAT MY PARENT/GUARDIAN WILL BE NOTIFIED IMMEDIATELY BY TELEPHONE. IF HE/SHE CANNOT BE REACHED, THE LOCAL POLICE WILL BE NOTIFIED. I WILL BE SUBJECT TO ANY AND ALL DISCIPLINARY ACTIONS TAKEN BY SCHOOL AUTHORITIES, WHICH MAY INCLUDE A DISCONTINUANCE OF THE TRIP’S ACTIVITIES, AND THAT I WILL FORFEIT THE PRIVILEGES OF CONTINUED PARTICIPATION IN GRADUATION.
SIGNATURE OF THE PARTIES:
STUDENT______Date______
PARENT/GUARDIAN______Date______
Phone number for Parent/Guardian on day of Luau______
THIS FORM MUST BE RETURNED TO THE MAIN OFFICE BY Friday, May 25, 2012