6153 – Instruction – Instructional Arrangements – School Sponsored Trips

Policy –
Regulation –
Exhibit – x

Adopted – 3/5/1998
Revised – 8/24/2017




___________________________ 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.


  1. I hereby acknowledge that I have been advised that the activities involved in this off-campus school-sponsored trip are not considered by the District to be of “high risk” to the participants.


Date: ___________________________________________________________________


Parent or Guardian Signature: ____________________________________________




In granting permission to attend, I do hereby waive all claims and hold harmless the individual sponsors, the Pacific Grove Unified School District, 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 off-campus school-sponsored trip.


NOTE:  All persons making a field trip or excursion as defined by California Education Code section 35330 shall be deemed to have waived all claims against the district, a charter school, or the State of California for injury, accident, illness, or death occurring during or by reason of the field trip or excursion.


Date: ___________________________________________________________________


Parent or Guardian Signature: ____________________________________________

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