Fiske Grade 5 Pool Party Waiver Form


THURSDAY, JUNE 18
12:15 TO 1:45 PM

THE IRVING H. MABEE TOWN POOL COMPLEX
80 WORTHEN ROAD, LEXINGTON, MA 02421

1) Arrival to and from the Pool Party is the RESPONSIBILITY of the child's parent/ guardian.

2) Parents/ Guardians/ Authorized Adults are REQUIRED TO SIGN OUT and PICK UP, ON TIME, each child at the end of the Pool Party. Fiske School, and Fiske PTO are NOT responsible for your child, once they have been escorted out of the pool area by the designated adult.

3) Any Grade 5 student, not following pool rules will result in loss of use of facility and a parent/ guardian/ authorized adult will be contacted for the child to be picked up

** ONE WAIVER PER CHILD MUST BE COMPLETED**

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