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Field Trip Indemnity Form

The document is a parental consent form for a field trip by students from Beaconhouse Sri Lethia to Perak and Penang from July 26th to 28th. It will be led by three teachers and involve travel by bus. Parents are asked to grant permission for their child to participate and agree to indemnify the school from any lawsuits arising from the trip. They also provide emergency contact details and medical authorization.

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3K views2 pages

Field Trip Indemnity Form

The document is a parental consent form for a field trip by students from Beaconhouse Sri Lethia to Perak and Penang from July 26th to 28th. It will be led by three teachers and involve travel by bus. Parents are asked to grant permission for their child to participate and agree to indemnify the school from any lawsuits arising from the trip. They also provide emergency contact details and medical authorization.

Uploaded by

JP7090
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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FIELD TRIP TO PERAK AND PENANG

PARENTAL CONSENT FORM AND INDEMNITY AGREEMENT


Date of Event/Field Trip 26-28 JULY 2019 Type of Field Trip EDUCATION TRIP

Destination PERAK AND PENANG

Teacher(s)/Individual(s) in Charge MR. JAYA PRATHAP, MS.YAMUNA, MS. REVATHY

Estimated Time of Departure 26TH JULY – 6 AM Estimated Time of Return 28TH JULY – 8 AM

Mode of Transportation To & From Event BUS

TO BE FILLED OUT BY PARENT/GUARDIAN:

Student Name Form

Parent/Guardian Name

Home Address

House Phone handphone

I, grant permission for


(Parent/Guardian) (Student)

to participate in the above named activity and I warrant that my child is in good health. In consideration of my
child’s participation, I agree to indemnify the school Beaconhouse Sri Lethia from any claims or law suits
brought against the Beaconhouse Sri Lethia by myself, my child or others, that arises out of any behavior by
my child at the event/activity described above.

EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I give permission to transport my


child to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or
hospital. In the event of any emergency, if you are unable to reach me at the above numbers, contact

(Name) (Phone Number)

As Parent or Guardian, I agree to all of the above stated considerations and conditions.

(Signature) (Date)

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