Middle School Art Prize 2017 Field Trip Consent Form
Dear Parent/Guardian,

Your student is eligible to participate in a school-sponsored activity at a location away from the school building. This activity will take place under the guidance and supervision of All Saints Academy staff members. Students in grades 4-8 will be riding a GRCSS bus to downtown Grand Rapids to view Art Prize exhibits on Tuesday, October 3, 2017. Students and Teachers will leave the middle school campus at 9:40 am. The bus will pick students up downtown at 1:45 pm to return them to ASA Middle School.

This activity will take place during lunch. Your child may either bring a sack lunch to school that day, or order a sack lunch from school, at your child's normal school lunch price (free, reduced or full price).

Student Last Name *
Your answer
Student First Name *
Your answer
Grade *
Lunch Options *
Parent Consent (enter parent name) *
By entering my name in the provided space, I hereby consent to have my child participate in the event described to me and agree to the following terms outlined below. I understand that this event will take place away from the school grounds and that my child will be under the supervision of the designated school employee on the stated dates. I further consent to the conditions on participation in this event, including the method of transportation. In consideration of my child being allowed to participate in this event, I agree to waive and release, and indemnify and hold harmless All Saints Academy, any and all affiliated organizations, its/their employees, agents, representatives, volunteers and drivers, from any and all claims I or my child may have, excluding claims for intentional misconduct or gross negligence, arising from or relating to my child’s participation in this event. I authorize All Saints Academy to obtain necessary medical treatment for my child in case of illness, injury or accident.
Your answer
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