Field Trip to Spanish In Action waiver

Welcome to Spanish in Action

The safety and security of the children is our highest priority, please carefully review the following Drop-Off and Pick-Up Routine Rules, the Waiver and Release, and sign below to indicate your acknowledgement and agreement.
Parent / Gaurdian Name *

First Name Last Name
Child's DOB (date of birth) *
Allergies *
E-mail *
Parent/Guardian Phone Number *

- Area Code Phone Number
Child's Name *

First Name Last Name
2nd Child's Name

First Name Last Name
Field Trip Date

Pick the day and time you will attend.
Date of the Field Trip *

- Month - Day Year
Group or Troop Name *
DROP-OFF and PICK-UP (PLEASE READ CAREFULLY)
DROP-OFF and PICK-UP (PLEASE READ CAREFULLY)
- Please wait at the bottom of the stairs with your group until a Spanish In Action team member joins you and leads you up into the classroom.
- Please park your car facing Sepulveda Blvd . at all times, including the times you have to wait in the car.
  (not in front of Olympic Cleaner and other businesses)
- There is absolutely no drop off from a running car. No child can be unattended at the parking lot or on the stairs.
- Be extremely aware not to block the OPUS Bank drive thru that is located right across from Spanish in Action.
- We ask that you please share this information with any person that either picks up or drops off your child/children at Spanish In Action.
I hereby agree to the DROP-OFF and PICK-UP rules *
Full Name
Permission To Take Pictures:

I hereby give permission for images of the child captured during any events at Spanish in Action through video, photo and digital camera to be used solely for the purposes of Spanish in Action promotional materials, social media, website and publications.

I understand that the photos and videos may be used at any time in any year, on flyers, social media posts and on the Spanish in Action website or Youtube in an effort to create awareness about the Spanish program for children and waive any rights of compensation or ownership thereto.
I give my permission to take pictures *
Type Yes to agree OR No to decline
May we tag you on Social Media *
Type Yes to agree OR No to decline
Facebook Name
Name on Facebook
@ Instagram handle
@name
How did you hear about our program? *
Acknowledgment, Waiver and Release

I, the parent, legal guardian or person responsible for drop off and pick up of the above minor, hereby acknowledges that the child is to attend a class/event at "Spanish in Action School of Language for Children Inc,” at 3001 N. Sepulveda Boulevard, Suite G, Manhattan Beach, CA 90266.

While the child is attending a class/event at Spanish in Action School of Language for Children Inc. at any time of any year, including before and after class/event when the child is in the custody of the school, I hereby authorize Maria Ure and the Spanish in Action employees, teachers, assistants or other authorized representatives, to act in my absence as my agent to consent to medical examination and/ or treatment for the child.

I hereby further release Maria Ure, Spanish in Action Inc, and their employees, teachers, assistants and representatives, and further waive any and all claims and causes of action, known and unknown, arising out of or in connection with Spanish in Action language class/event, any and all activities undertaken during the time the child is attending class/event,at any time of any year, or under the supervision of Maria Ure or the Spanish in Action Inc employees, teachers, assistants and representatives, including driving the child as may be required in case of an emergency or in case no parent, guardian or person responsible for drop off and pick up shows up to pick up the child and the child needs to be returned to my home address.
I hereby consent and agree to the Acknowledgment, Waiver and Release *
Full name
Should be Empty:

Welcome to Spanish in Action

Field Trip Date

DROP-OFF and PICK-UP (PLEASE READ CAREFULLY)