FIELD TRIP PERMISSION FORM

Field Trip Excursion: Nutcracker Dominican University

Date:__Thursday, Dec. 10, 2015 Cost: $12.50

Leaving:_9:30

Return: Noon

I give permission for my child______to participate in this field trip/excursion. In granting this permission, I assume full responsibility for any damage to person or property caused by my child or ward.

I hereby release the St. Giles Parish and school and all of their official representatives from any and all liability in case of accident or injury involving my child during this field trip.

I further agree that in the event disciplinary action or the health of my child or ward may make it necessary, at the discretion of the sponsors, my child or ward may be forthwith returned home at my expense. In the event of an emergency, I further consent and will be responsible for any medical or dental treatment that may be advisable at the discretion of any physician or dentist.

It is further warranted that if this Field Trip Permission Form is signed by one of two parents or guardians, it is with the authority of the other.

______Date Parent Signature

______

STUDENT AGREEMENT

While participating in this field trip/excursion, I will accept the responsibility for maintaining good conduct and appearance, and I will follow directions at all times.

______Date Student Signature