High School Leadership Conference Permission

High School Leadership Conference Permission

Please submit by Sept. 30, 2023
I, as Parent or Guardian, give permission for:
Student Name:*

First Name(s)Last Name
Grade:
Homeroom Teacher:
FIELD TRIP: High School Leadership Conference
TRIP DATE: November 19-21, 2023
Mode of Transportation: parent/teacher-driven vehicle
1. Students will leave ACS campus: 11:00 pm on 11/19
2. Students will return to ACS campus: 4:00 pm on 11/21
3. Administrator in charge: Mrs. McHale
4. Dress Code: Casual/Modest
5. Cost: 335.00 (4 to a room) or $415.00 (2 to a room) for the conference, transportation and parking, and hotel stay, t-shirt, tour and boxed lunch on tour.
6. Students need to bring money for the purchase of four meals
Description of Activity

ACSI High School Leadership Conference, Washington D.C.

Permission Statement

I, the undersigned, being the parent or legal guardian of the student named above, do hereby consent to the participation of my student in the above stated activity. Further, I certify that my student is physically fit and able to participate in this activity.

I, the undersigned, being the parent or legal guardian of the student named above, release Atlantic Christian School, located at 391 Zion Road, Egg Harbor Township, New Jersey, its agents, assigns, employees, and volunteers from any liability whatsoever arising out of injury, sickness, or damage which may be sustained by said student during the course of said activity.
Parent's Permission:

I have completed the schools’ “Emergency Contact Form” and the “Emergency Medical Release Form” and the information is on file with the school office.
Parent/Guardian Signature:
Parent Name:
Date:

MonthDayYear
Date
Email*
example@example.com
Phone Number:

Area CodePhone Number
Student Agreement:

I understand and agree to follow all the rules and policies of the school while on this trip.
Student Signature:
Date

MonthDayYear
Date
PLEASE NOTE:
YOUR STUDENT CANNOT PARTICIPATE WITHOUT A SIGNED PERMISSION SLIP.
Should be Empty: