TIA Permission Form

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TIA Permission Form

This form gives permission for your child to leave campus and engage with the presented activity. Completing and submitting this form means you give permission to travel, engagement during the event, emergency medical care as submitted during program registration, and reasonable unplanned adjustments which may occur due to unforeseen circumstances while engaging in the event.

Child's Name *

Event *

Name of the guardian completing this form. *

Phone Number of the guardian completing this form. *

First and last names of any adults who may be accompanying the school on this trip.

Family Security Number *

I give permission for my child to participate in this event as I have read and understood the activity and the scope of my permission as the legal guardian of the child for whom I am giving permission. My "yes" is being submitted as my electronic signature. *

Yes

I have read all information pertaining to the trip. I am aware of addition costs (if any), scheduling, time restrictions, and other details that have been communicated by the school staff. I understand that not complying with communicated expectations means my child may not be able to participate. Visit www.theimpactacademywtc.com or contact your child's teacher if you need more information. *

Yes

Submit

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