Bishop Frank O. White Morgan Stanley Field Trip

Student Waiver Form For STEM Field Trip To Morgan Stanley
Student Information
Student Name:
Grade:
Parent/Guardian Name:
Emergency Contact Number
Destination: Morgan Stanley Office in NYC
Date of Event:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time of Event:
Purpose: STEM Education and Career Exploration

Waiver And Release

I hereby give permission for my child to attend the STEM field trip to Morgan Stanley. I understand that my child will be under the supervision of the Bishop Frank O. White Digital Literacy Center staff and that all reasonable precautions will be taken to ensure their safety.

I acknowledge that participation in this field trip involves inherent risks and I hereby release and hold harmless the school, its employees, and Morgan Stanley from any and all liability for any injury or harm that may occur during the trip.
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please list any medical conditions or allergies that the staff should be aware of
In case of emergency, I authorize the Bishop Frank O. White Digital Literacy staff to seek medical treatment for my child.
ParentGuardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Photo Relase:

I give permission for photos of my child taken during the field trip to be used for Bishop Frank O. White Digital Literacy promotional materials.
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Student Waiver Form For STEM Field Trip To Morgan Stanley