YMCA OF GREATER CLEVELAND Solon YMCA SUMMER 2016 FIELD TRIP PERMISSION SLIP

June 5 – August 16, 2017 BELOW IS INFORMATION AND A PERMISSION SLIP FOR THE SCHEDULED FIELD TRIPS AND SWIMMING ACTIVITIES FOR SUMMER CAMP AT ArTHUR ROAD ELEMENTARY SCHOOL. BE SURE TO SIGN, DATE AND INITIAL THE FORM (UNDER PARENT INITIALS). THIS PERMISSION SLIP MUST BE TURNED IN BEFORE YOUR CHILD MAY ATTEND CAMP FOR THAT GIVEN WEEK. ALL PERMISSION SLIPS ARE DUE ON OR BEFORE MONDAY MORNING AT THE START OF CAMP. IF A FIELD TRIP IS CHANGED, YOU WILL RECEIVE A CORRECTED FIELD TRIP PERMISSION SLIP FOR THAT PARTICULAR DAY/ACTIVITY. FIELD TRIP PERMISSION: DAY/DATE FIELD TRIP DESTINATION DEPARTURE APPROX. TYPE OF PARENT (Include Address) TIME RETURN TRANS. INITIALS TIME (CHECK ONE) June 6, 2017 Liberty Park 10:00 am 1:00 pm Bus 9577 Liberty Road Twinsburg, Ohio 44087 June 8, 2017 Wagon Trails 9:00 am 4:00 pm Bus 907 Youngstown-Kingsville Vienna, Ohio 44473 June 13, Preston’s Hope Playground 10:00 am 4:00 pm Bus 2017 26001 South Woodland Road Beachwood, Ohio 44122

June 15, Domino’s Pizza 8:30 am 4:00 pm Bus 2017 33670 Aurora Road Solon, Ohio 44139

Solon Community Park 35000 Portz Parkway Solon, Oh 44139 June 20, Garfield Nature Ctr. & Reservation 10:00 am 1:00 pm Bus 2017 11350 Broadway Ave Garfield, Oh,44125 June 22, Roseland Lanes 10:00 am 4:00 pm Bus 2017 26383 Broadway, Oakwood Village, 44146 June 27, Sunny Lake Park 10:00 am 1:00 pm Bus 2017 855 E. Mennonite Rd. Aurora, Ohio 44202 June 29, United Skates 10:00 am 4:00 pm Bus 2017 30325 Palisades Pkwy. Wickliffe, Ohio 44092 July 6, 2017 Natural History Museum 10:00 am 1:00 pm Bus 1 Wade Oval Dr., University Circle Cleveland, 44106 July 11, 2017 Kidsstation Playground & Safety 10:00 am 4:00 pm Bus Village 4200 Fish Creek Rd, Stow, Ohio 44224 July 13, 2017 Castel Noel 10.00 am 1:00 pm Bus 260 S. Court St. Medina, Ohio 44256 July 18, 2017 SKIP Playground 10:00 am 4:00 pm Bus 3870 Darrow Road, Stow, Ohio 44224 July 20, 2017 Fun n’ Stuff 10:00 am 1:00 pm Bus 661 E. Highland Road Macedonia, Ohio 44056 July 25, Lake Bell Park 10:00 am 1:00 pm On Site 2017 14532 Lake Ave. Lakewood, Oh., 44056 July 27, 2017 Camp Y Noah 9:00 am 1:00 pm Bus 815 Mt. Pleasant Rd Clinton, Ohio 44216 August 1, Glenwood Meadow Park REV 6/07 2017 Glenwood, Twinsburg, Ohio 10:00 am 4:00 pm Bus August 8, North Chagrin Reservation 10:00 am 4:00 pm On Site 2017 Mayfield Village, Oh 44143

August 10, Make Believe Family Fun Center 10:00 am 4:00 pm Bus 2017 8303 Day Dr. Parma, Ohio 44129

August 14, Solon Community Park 15, 16, 2017 35000 Portz Parkway 10:00 am 3:00 pm Walk Solon, Oh 44139

Transportation services will be provided by (YMCA Staff check one): x YMCA owned/operated bus Leased bus with YMCA driver Contracted bus services through school district In any of the above field trips, will children have access to water that is two or more feet in depth? No X Yes If yes, list field trip destination(s): See below Are water activities planned in water that is two or more feet in depth? No X Yes If yes, complete swimming permission section

SWIMMING PERMISSION (CHECK APPROPRIATE ANSWER): 1. MY CHILD IS A _____ SWIMMER _____ NON-SWIMMER 2. MY CHILD HAS PERMISSION TO PARTICIPATE IN WATER ACTIVITIES ____ YES ____ NO

DAY/DATE LOCATION OF SWIMMING SITE START END TIME TYPE OF PARENT TIME TRANS. INITIALS June Warrensville YMCA Branch Tuesday Tuesday Bus 9,13,16,20,2 2:00 pm 3:00 pm 3, 27,30 4433 Northfield Road, July Warrensville Heights, Ohio Friday Friday 7,11,14,18, 44128 12:00 am 1:00 pm 21,25,28 August 1,4,8 2017 Transportation services will be provided by (YMCA Staff check one): YMCA owned/operated bus X Leased bus with YMCA driver Contracted bus services through school district THE CENTER WILL NOT BE PROVIDING ADDITIONAL ADULTS OR STAFF MEMBERS ABOVE THE RATIO REQUIREMENTS FOR THESE SWIMMING ACTIVITIES. In the consideration of the opportunity for my child to be a participant in the YMCA of Greater Cleveland’s child care field trip, I, the parent or guardian, hereby assume all risks and release and hold harmless the Association and all its members, volunteers and employees from any claim that might arise as the result of my child’s participation in the field trip including transportation related to the field trip. I have read the above and willingly consent to allow my child’s participation under the above stated condition.

______CHILD’S NAME DATE OF BIRTH ______PARENT/GUARDIAN SIGNATURE DATE

REV 6/07