2018 TMIS - Field Trip and In State Travel
All field trip dates, locations, and information can be found on at http://www.trinitybands.net under the calendar tab.
Trip Destination Information - Trinity Bands - Dean Surface Director
In order for the student to participate in the field trip or in-state travel, parent must complete and sign the form below and return it to the District Sponsor named above.
Legal Guardian Name *
Your answer
By checking the box I (legal guardian), below certify to the best of my knowledge that the following information and statements are accurate and true: *
Required
Student Name (last, first, middle) *
Your answer
Student Birthday *
MM
/
DD
/
YYYY
School Attended *
Current Grade Level *
Student's instrument *
Full Address *
Your answer
Phone Number *
Your answer
Additional Phone Number where you can be reached.
Your answer
Emergency Contact
Name for emergency contact *
Your answer
Emergency contact relationship to student *
Your answer
Emergency contact full address *
Your answer
Emergency contact phone number *
Your answer
Medical Information
Doctor's Name *
Your answer
Phone Number *
Your answer
Health Insurance Carrier *
Your answer
Policy Holder Name *
Your answer
Policy Number *
Your answer
In the event that emergency medical treatment becomes necessary for my student while on the trip and I cannot be contacted, I authorize the school to obtain the necessary treatment.

I understand that all students participating in the trip are required to ride in transportation provided by the school. The school district will not be liable for injuries to students riding in vehicles not provided by the school.

I understand that the District’s rules and regulations regarding conduct and discipline apply while students are participating in the trip.

Also, the student is required to follow any special rules developed for this particular trip. I understand that in order for my student to participate in major trips, he or she must comply with scholarship and eligibility requirements according to UIL guidelines.

I release the District, its Board of Trustees, staff, and employees from any damages arising from this trip, except to the extent that liability may be imposed under Texas law. The District, its Trustees, employees, and agents may still claim any governmental or professional immunities allowed by law. As parent or guardian, I agree to hold the District, its trustees, employees, and agents harmless from any damages that may result from my student’s actions on the trip.

I have read and understood this permission form and I sign it voluntarily and with full knowledge of it significance. I hereby give permission for my student to participate in this trip. *
Required
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