• TOWNSHIP HIGH SCHOOL DISTRICT 214

  • Affidavit of Insurance, Hold Harmless Agreement & Parent Agreement

  • a minor who is a students of Township High School District 214, Cook County, Illinois, in consideration of the agreement by the district to permit the student to participate in a district/school sponsored tour/field trip to various locations to take place from July 1, 2022 to June 20, 2023, do hereby state under oak, that there is accident and health insurance for our son/daughter that will cover him/her while participating in said trip, and that we agree to maintain said coverage in full force and effect for the duration of the trip.

    We do further agree to indemnify, protect and hold harmless said school district, its officers, Board members, supervisors, agents, servants, employees, and all private persons or organizations volunteering services without charge to supervise or chaperone students while on the tour/field trip from any claim liability whatsoever, including but not limited to, personal injury, property damage, court costs, attorney’s fees and interest, howsoever caused, as a result of said minor participating in the above described tour.

  • will be subject to the disciplinary authority of the Board, its officers, agents and or employees in connection with any misconduct during the trip/tour. I understand that student possession or use of any controlled substance included but not limited to, alcohol, illegal drugs, and drug paraphernalia and tobacco is prohibited during the trip/tour. If our student violates the general school rules of student conduct or specific rules or directives established or given by the tour supervisor and/or appointed chaperones, we understand that he/she will be subject to disciplinary consequences upon return to school and that disciplinary consequences may include suspension and expulsion. In the event our student conduct is sufficiently egregious that it is deemed by the tour supervisor or other school authorities to be detrimental to or incompatible with the well-being of the trip/tour as a whole, we agree that he/she may be required to return home at my expense before the trip is completed.

    We agree that the Board of Education, Township High School District 214, its officers, agents, and/or employees reserve the right at any time prior to or during said trip/tour to make cancellations, changes or substitutions in emergencies or change conditions or, in the interest of the group, to alter, prior to the trip/tour departure, the cost in order to meet unexpected changes in airlines fares, hotel rates, etc. as the announced fee is based on current tariffs, rates and expenses as well as numbers attending the trip/tour, which are subject to change or re-estimation.

    We further understand and agree that the school district reserves the right to cancel and/or withdraw sponsorship of the trip/tour should the school district determine in its discretion that the trip could threaten the safety or otherwise not be in the best interest of the participating students. If the trip is cancelled or sponsorship withdrawn, we waive and relinquish any claims against the school district for repayment of lost or forfeited funds or any other expenses we may have incurred in connection with the canceled trip or as a result of the cancellation.

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