Field Trip Permission for Lion King
Your child is eligible to participate in a school-sponsored activity requiring transportation to a location away from the school building and grounds. This activity will take place under the guidance and supervision of employees from St. Mary’s Catholic School. A brief description of the activity follows:

Name of Event: Dress rehearsal of the Lion King play at St. Joseph's school in Killeen
Designated Supervisor of Activity: Teachers
Date(s): May 16, 2017
Time of Departure: 8:15 AM
Time of Return: 10:45 AM
Method of Transportation: Holy Trinity Bus
Student Requirements: School uniform
Cost: $0.00

Due by: May 12, 2017

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.

Email address *
I/We, the Parent(s)/Guardian(s) of (child's name) ______________________ request that St. Mary’s Catholic School allow my child to go to the above mentioned event. *
Your answer
My child is in Grade *
Parent/Guardian’s Electrionic Signature *
Your answer
Emergency Contact Phone *
Your answer
If you can chaperone and are EIM compliant, please fill out the information below.
Chaperone Name
Your answer
I am EIM compliant.
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