Religion Retreat - 2nd Grade
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: Religion Retreat at Cedar Break
Designated Supervisor of Activity: Mrs. Rockwood
Date: May 3, 2017
Time of Departure: 8:15 am
Time of Return: 3:14 pm
Method of Transportation: Holy Trinity Bus
Student Requirements: None

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 _____________ request that St. Mary’s Catholic School allow my child to attend this above mentioned event.
Your answer
Parent/Guardian’s Electrionic Signature
Your answer
Emergency Contact Phone
Your answer
Never submit passwords through Google Forms.
This form was created inside of St. Mary's Catholic School. Report Abuse - Terms of Service - Additional Terms