PERMISSION TO LEAVE "CAMPUS" FOR LUNCH / LIABILITY

Campus Policy on Leaving Premises:

Proximity to Restaurants:
There are no restaurants directly adjacent to the premises. [Map]
Policy for Under 14s:
Individuals under the age of 14 may only leave with a direct and older sibling or may request an older teen or licensed driver to pick up something for them.
Policy for 14 and Older:
Those aged 14 and older may walk in groups of 3 or more to the closest restaurants (Cloveberry, Subway, Asian Island).
Walking alone is not permitted for safety and insurance reasons.

Policy for Leaving Campus:
Only licensed drivers are permitted to leave campus to visit local restaurants/shops for lunch.
The approved locations include Cloveberry, Asian Island, Subway, Cafe Pierrot, Burger King, Tokyo Sushi, Cranky Noodles, Anthony Francos, Sparta Diner, Dunkin Donuts, Frank's Pizza, Sushi Ya, Boneyard, Lake House, Casa Mia, St. Moritz, Kroghs, and Il Porto.
This Permission to Leave Campus form MUST be signed by a parent is mandatory for licensed drivers.
For insurance compliance, only siblings of licensed drivers may accompany their licensed sibling off-campus.

Child's Name*

First NameLast Name

Age*

Date of Birth*

Date

CAMP*

INTO THE WOODSTHE WIZARD OF OZ!THE LIGHTNING THIEF

Parent/Legal Guardian Name*

First NameLast Name

Relationship to the Minor*

Phone Number 1*

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Does this child have a valid NJ/NY driver's license?*

YESNOPERMIT (not allowed)

If the licensed child has any siblings in attendance that will leave with them for lunch, please add names of all siblings below.*

If no siblings, please list close friends that you as a parent will allow.

Please check all if you agree (without agreeing to all, student may NOT leave campus):*

Only licensed drivers may go out for lunch.Student may not venture out beyond a 5 mile radius of the RSYTC CAMPUS.Students who leave for lunch must return by 12:30PM or within a half hour of when lunch starts. If excessive lateness occurs, RSYTC can void permission to leave campus for the duration of the camp.**RSYTC staff will NOT monitor students when students are off campus for lunch.

Please check all (without agreeing to all, student may NOT leave campus):*

I understand that my child is responsible for her/his actions and behavior at all times.I understand that my child will not be monitored by staff during out-lunch.I understand and agree that Rising Stars Youth Theatre Co. (including its staff) will not be held liable for any legal issues, expenses, damages, or injuries arising from my child's behavior outside of campus, including transportation to or from restaurants and activities at or in restaurants, during lunch breaks within program hours.Additionally, I acknowledge that Rising Stars Youth Theatre Co. (and its staff) shall not be held liable for any car accidents, damages, or other incidents that occur when a licensed driver leaves the campus premises.

I, {parentlegalGuardian}, the parent or legal guardian of {childsName}, give RSYTC my permission to allow said child to leave the premises for lunch, as stated in this form.

* I {parentlegalGuardian} will not hold RSYTC or any of its staff and/or agents, liable in any way for the risk, danger, injury, or damages caused.

Parent's Signature*

Date Signed*

Date