Tunbridge Field Trip 9/17: Sign-up and permissions

Tunbridge Field Trip Permission:

Please complete one form for each child. The details of this event will be sent by email. Feel free to email Ryan with questions (ryan@pacemschool.org). The activities will include checking out the agricultural and historical exhibits and eating a packed lunch together.
Student Name

First NameLast Name
Student will be attending the following event:

Other
I understand fully that even after responsible precautions have been taken, field trip activities may involve hazards for which Pacem School and parent volunteers cannot be held responsible. I understand that hiking, camping, attending public events and transportation in motor vehicles all carry the risk of personal injury, permanent loss or even death. In the event that my child/dependent becomes ill or injured during the field trip briefly described above, I hereby release, discharge and/or otherwise indemnify Pacem School, its affiliated organizations and sponsors, their employees and associated personnel, and all parent volunteers against any claim by or on behalf of myself or mychild/dependent as a result of the registrant's participation in the fieldtrip.

My signature below indicates that I have read and understood the risks involved and give the Pacem School permission for my child to attend the events indicated and described above.
Today's date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Parent Completing this form

First NameLast Name
What is the best phone number to reach you at during the trip in case of emergency?
Please enter a valid phone number.Format: (000) 000-0000.
If you have a secondary phone number you would like us to have, tell us here.
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Tunbridge Field Trip Permission: