Parental Consent And Release Form For Field Trips printable pdf download

PARENTAL CONSENT AND RELEASE FORM FOR FIELD TRIPS

-M

HARLOTTE

ECKLENBURG

CHOOLS

ARENTAL

UARDIAN

ONSENT FOR

Acknowledgement of Personal Liability

My Child to Ride with Private Drivers

My Child to Ride with Another Student Participating in Activity

My Child to Transport Other Students

ACKGROUND

My child, ___________________________________________, has permission to participate in the field

trip to the __________________________________________ (“activity”) on ______ /______ /_____. I

understand that this activity involves travel to and from _______________________________. I also

understand that this activity (circle one) does / does not involve staying overnight. I understand and

acknowledge that the Charlotte-Mecklenburg Board of Education (“Board”) is the legal entity that

operates Charlotte-Mecklenburg Schools (“CMS” or “District”).

ONDUCT

URING

CTIVITY

I understand that my child’s participation in the activity is a privilege, and not a right. I acknowledge that

I have spoken with my child about my child’s need to comply with the specific rules and requirements

established for this activity; all District policies and procedures; rules of conduct set forth in the Student

Code of Conduct; and, state and federal regulations and laws. I understand that all District rules and

policies apply to my child and the other students during the course of the field trip.

RANSPORTATION

ERMISSIONS AND

AIVER

I also understand that private drivers, which may include my child (pending my written permission

below), a teacher, an administrator, or the parent of another student participating in the activity, may be

used to transport students to and from the activity. The owner of the vehicle must carry bodily injury

insurance. The District’s insurance does not cover damages arising from, or related to, the operation of

any private vehicle, failure to follow the directed driving route, or any personal negligence related to this

activity. Any damages/harm resulting from a parent/guardian/or other designated driver (including

student-drivers), arising from the operation of a motor vehicle in relation to the above listed activity, is

hereby waived.

Please initial on the three spaces to the left of each statement below to acknowledge your acceptance of

the following permissions.

_____

I give permission for my child to ride in a vehicle to and from the activity with

another student.

_____

I give permission for my child to transport students to and from the activity.

_____

I give permission for my child to ride in a vehicle driven by a teacher, an

administrator, sponsor, or parent of another student to the activity.

I also understand that I have the ability to refuse to sign this Form. In addition, that if I refuse to sign, my

child will not be permitted to participate in the activity.

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Parental Consent And Release Form For Field Trips

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