Field Trip Permission Form

We, (I) as parent (s) or legal guardian(s) of____________________________________
                                                               Student's Name

give permission for our child   to participate in:

DATE:.

This permission includes all related programs or events associated with the field trip.  In consideration for our (my) child's participation, we(I) and my (our) child agree and understand that we assume the risks inherent in the field trip, and with full knowledge of the risks, we agree to release and hold harmless Pope John Paul II Regional Catholic Elementary School, and the Archdiocese of Philadelphia and their employees and representatives, from claims arising or related to our (my) child's participation.

Our(my) child understands and agrees to abide by all rules and regulations established by the school pertaining to such field trip.

We consent to and give permission for emergency medical care for our(my) child that may be needed as a result of my(our) child's participation:

Insurance:____________________________________________

Group #:_____________________________________________

I.D.#________________________________________________

__________________________________ __________________________
(Student's Name) signature                                              (Date)

___________________________________ ___________________________
(Parent's/Guardian's) signature                                          (Date)

___________________________________ ___________________________
(Parent's/Guardian's) signature                                          (Date)

*Both parents and/or guardians should sign this Permission and Release. If one parent and/or guardian is out of town or otherwise unavailable, the fact should be noted on the form. If only one parent has custody, permission must be obtained from this parent with an acknowledgment that this parent is sole custodian of the child. If there is no parent and only one guardian, permission must be obtained from the sole guardian with an acknowledgment that he/she is sole guardian.

Please note: Each student must return the signed Permission and Release before being permitted to participate on the field trip. All tuition must be paid up-to-date as per the Parental Contract