Permission to Travel Form
November 2:  Cluster Concert Clinic {Varsity only}
December:  Elementary Tour {Varsity only}
February:  Pre-UIL
March: UIL
May: Spring Festival
Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
Student Class Period *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Phone Number *
I give my child permission to travel with the DJMS Choir under the supervision of directors Bridgett Wigley and Nathan Gepanaga on the events listed above. My child has permission to ride the bus, and I give Bridgett Wigley and Nathan Gepanaga permission to attend to any emergencies my child may have while in their care. 
 I also understand that by electronically signing below, I am indicating both my child and I understand the Student Trip Disclaimer and will agree to its contents. I recognize, however, that unanticipated situations and problems can arise on any trip, which situations or problems are not reasonably with in the control of the supervising teacher(s), staff or chaperones.  We agree to release , indemnify, and hold harmless the Mansfield ISD, their agents, teacher(s), staff or chaperones, from any and all liability, claims, suits, demands, costs and expense (including attorneys' fees and costs) arising from such activities, including any accident or injury to the student and the costs of medical services.  
In the event of an injury requiring medical attention, I hereby grant permission to the supervising teacher(s), staff or chaperones to attend to my son/daughter.  If the injury warrants further medical attention, I expect every effort will be made to contact me to receive my specific authorization before action is taken.  If efforts to contact me are unsuccessful, I grand permission for necessary medical treatment to be given.  In addition, I hereby give my permission to the supervising teacher(s), staff or chaperones to take my child to the physician or to the hospital if an accident or serious illness occurs on the trip and I cannot be located.  
In the event that a student must return to Mansfield ISD independently, for reasons of health, accident, failure to conform to rules established by the teacher in charge, etc., we agree to accept full responsibility for and to pay for the cost of medical care, transportation and other incidental expenses.
Parent/Guardian Electronic Signature *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mansfield ISD. Report Abuse