Corn Maze/Pumpkin Patch Field Trip
DeVries Corn Maze Release Form for Peak Virtual Academy

 - Wednesday, October 26, 2022 

Elementary group - Start at 9:30 a.m.- end at approximately 11:30 a.m.
High School Group - Start at 10:30 - end at approximately 12:00 p.m.
Middle School Group - start at 12:00 - end at approximately 1:30

All students are required to meet at Peak Academy, please arrive 10 minutes prior to your start time.  
Students will ride the bus to and from this activity.

Bring your own lunch and comfortable walking shoes!  Please dress appropriately for the weather!  (There is no cost to parents - fees covered by Peak)

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Email *
Student Last Name: *
Student First Name: *
Student Grade Level:  *
Parent/Guardian First and Last Name *
LIABILITY - The undersigned being the parent or guardian of student named above hereby agrees to release the Montrose County School District, its representatives, agents, volunteers and employees from liability for injury to the said minor resulting from any cause whatsoever occurring to the said minor at any time while attending a corn maze including travel to and from said field trip, excepting only such injury or damage resulting from the willful acts of such representatives, agents, servants, and employees. *
Parent/Guardian phone number to be reached during the hours of this field trip is: *
Emergency contact name: *
Emergency contact phone number: *
A copy of your responses will be emailed to the address you provided.
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