Warren Consolidated Schools

WARREN CONSOLIDATED SCHOOLS FIELD TRIP PERMISSION AND LIABILITY WAIVER FORM

I do hereby state that I am the natural parents or guardians of______, a student in the Warren Consolidated School District, Macomb County, Michigan.

I understand that the school or class is going to ______on ______.

By my signature hereunder I hereby give permission for said child to attend the above activity. I hereby waive any right or cause of action, of any kind whatsoever, arising as a result of such activity from which all liability may or could accrue to the Warren Consolidated Schools or school personnel or the adult chaperones, except to the extent that any damages related to such a right or cause of action may be covered by the school system’s policies of liability insurance.

Note: The purpose of this waiver is to indicate to parents or guardians that the extent of the school district’s liability is the limit of the school district’s liability insurance. For purposes of prudent planning, this form must be signed as it has been deemed reasonable to make parents or guardians understand that the district’s liability parameters in advance of educational trips. Please be assured that the school district, at all times, is adequately insured and is welled prepared to exercise responsible foresight and care in attending to student’s safety and well being.

All educational trips require cooperation, responsibility, and good behavior on the part of each participant, for the good of all involved. While on an educational trip, students are required to abide by the Student Code of Conduct.

Any student possessing alcohol or other drugs (except medication as listed on the MEDICAL INFORMATION SHEET) will automatically be sent home at the parent’s expense.

We, the undersigned, understand the above, realize the necessity for the rules, and agree to cooperate.

______Print Student’s First and Last Name Student Signature Date

______Print Parent / Guardian’s Name Parent / Guardian Signature Date

______Address, City, State, and Zip Code

______Home Phone Number Emergency Phone Number Note: Parents know better than anyone how well your child can and will behave. If you are not confident that she/he will be able to exercise responsibility and self-discipline, please DO NOT allow her/him to attend. TEACHER FIELD TRIP PERMISSION FORM

I, ______, would like to attend a field trip ______on ______with my ______class. I understand that I am responsible for making prior arrangements with each of my teachers to make up any work I miss. I promise to ask my teacher to sign this permission slip politely and without disrupting any of my teacher’s classes.

1st hour: ______

2nd hour: ______

3rd hour: ______

4th hour: ______

5th hour: ______

6th hour: ______

ATTENTION PARENTS!

This field trip requires a minimum of one chaperone for every ten students. Sadly, this field trip will be cancelled if a few parents cannot volunteer. Chaperones would need to arrive at Sterling Heights High School by ______and would return by ______. Please indicate below if you are available to chaperone for this field trip.

Check one of the following:

______No, I am unable to chaperone for this field trip.

______Yes, I am available to chaperone for this field trip. Parent Signature: ______