Name of Event: Overnight 5th Grade field trip to Fossil Rim Wild Life CenterDesignated Supervisor of Activity: Mrs. WaltersDate(s): May 4th and May 5th 2017Time of Departure: 7:30 AMTime of Return: 11:30 AMMethod of Transportation: Parent TransportationStudent Requirements: See email for additional informationCost: $95.00 per student Due by April 24th, 2017
****ADDITIONAL INFORMATION WILL BE SENT IN EMAIL****
By submitting this form you agree to this event. You give consent and release of liability. As Parent/Guardian you remain fully responsible for any legal responsibility which may result from any personal actions taken by the named student.
In consideration for the making of the arrangements for this trip, I/We hereby release and save harmless the St. Mary’s Catholic School, all its employees and the Diocese of Austin from any and all liability arising to my child as a result of this trip. I also agree to allow my child to travel on this trip in a private vehicle.
If emergency treatment is required for my child, I/We authorize St. Mary’s Catholic School personnel to follow area EMS regulations in caring for my child.