Exhibit – x
Adopted – 3/5/1998
PARENT PERMISSION FOR STUDENT PARTICIPATION
IN OFF-CAMPUS SCHOOL-SPONSORED EVENTS
___________________________ has my permission to attend (activity/event) which
(Name of Student)
will take place at:__________________________________________________________
Date of event: ___________________________________________________________
Class or group attending: ___________________________________________________
Teacher or leader: _________________________________________________________
Method of transportation: ___________________________________________________
If traveling by automobile, name of driver:___________________________________
1. I understand that all students going on this trip will be responsible in conduct to the bus driver, to teachers or adult sponsors. It is further understood that students will go and return from the event on the transportation provided and that every reasonable caution will be maintained on the trip.
2. I hereby acknowledge that I have been advised that the activities involved in this excursion/field trip or event are are not considered by the district to be of “high risk” to the participants.
Parent or Guardian Signature: ________________________________________________
WAIVER OF CLAIM (To be Completed for Out-of-State Events Only)
In granting permission to attend, I do hereby waive all claims and hold harmless the individual sponsors, the (School District Name) , and the State of California for any injury, accident, illness, death, or any loss or damage to personal property occurring during or by reason of this excursion/field trip or event.
Parent or Guardian Signature:____________________________________________
See Policy #6153
CSBA Date – 3/91