Permission Slip/Waiver Form
Date: __________________
I, ________________________________
am
the
__________________________
(Print Parent Name)
(Father, Mother, Guardian)
of _______________________________, a student at Towpath Trail H.S.
(Print Student Name)
I hereby grant permission for the above named student to attend_____________________
_____________________during school hours on ________________________. The time will be
from _____________ to _____________ In consideration of my student being allowed to
participate in the field trip, I hereby assume all risks in connection with the field trip,
and I further release Towpath Trail High School and staff employees from all claims,
judgments, and liability for any injury or damage that the child may have due to
participation in the field trip, including risks connected therewith foreseen or
unforeseen. I fully understand what is involved in the field trip, and I understand that
I have the opportunity to call the teachers or the administrator and ask her about the
field trip.
In case of an EMERGENCY, I can be reached at:
__________________________
(Phone number)
____________________________________________
(Parent/Guardian Signature)
275 W. Market St. | Akron, OH 44303 | Work (234) 542‐0102 | Fax (330) 374‐3961