Detroit Princess Cruise Permission Slip
Student's LAST name *
Your answer
Student's FIRST name *
Your answer
My Child's CURRENT 1st Hour Teacher's LAST name is... *
Your answer
I hereby give my consent, for the child listed below, to attend the Detroit Princess Lunch Cruise on the Detroit River on Thursday, June 6, 2019. I give my permission for my child to leave school, at 8:30am and travel by Charter Bus, to the cruise ship. Please enter your student's first and last name in the space provided ("last, first" please): *
Your answer
The following are the telephone numbers that should be used, on the day of the trip, in the event that my child's parents must be notified in an emergency situation: *
Your answer
The following is medication that must accompany my child on the trip:
Your answer
The following is additional information that I need to share about my child including, but not limited to, information regarding allergies, food restrictions or medical conditions). This area can be left blank if no additional information needs to be shared.
Your answer
I authorize the Brighton Area Schools, its employees, designees or sponsors in attendance at any Brighton Area Schools event to secure, select and consent to necessary medical attention for my child resulting from injury, illness, or accident requiring medical care while I am not in attendance. I release Brighton Area School and such person(s) from any liability for the selection in securing of a medical provider. To agree to this statement, please place your name and the day and date of your birth in the space provided. As an example, John Smith born on January 1 would put "John Smith 01-01". *
Your answer
While every reasonable effort has been made to ensure a safe, educationally sound trip/activity, I understand that Brighton Area Schools is not responsible for any claims, losses, damages, costs or expenses (as stated or additionally required) arising out of: 1. Personal injury or death; 2. Damage to or loss of property; 3. Cancellation, delays or inconveniences; 4. Changes in an itinerary for reasons beyond our control; 5. Return travel expenses for a student participating in an off-campus trip/activity who violates the Student Code of Conduct and must be sent home. To agree to this statement, please place your name and the day and date of your birth in the space provided. As an example, John Smith born on January 1 would put "John Smith 01-01". *
Your answer
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