Mrs. Tradewell

Dear Parent/Guardian,

                Your child is eligible to participate in a school sponsored activity requiring transportation to a location away from the school building.  This activity will take place under the guidance and supervision of the staff and those designated by the staff as supervisors.

Date: Friday, October 16^th, 2009                                                 Form due: Wednesday, September 30^th, 2009

Destination:  Disney’s 100 Years of Magic on Ice (Wachovia Center)

Objectives of the Trip: ILA Theme Unit – Plays/Cultural                

Method of Transportation: School Bus

Time of Departure: 9:15 A.M.                     Time of Return: 2:00 P.M.    

Student Cost: $24.00                                      Lunch:   Students must pack a brown paper lunch.

Clothing: Gym Uniform

Field Trip Permission Form/7^th Grade – “Disney on Ice”

Student Name                                                                                                 

I/we,                                                                                                                                     request and give permission for my child to go on this Field Trip.   This permission includes all related programs or events associated with the field trip.  In consideration for my/our child’s participation, I/we and my 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 St. Francis of Assisi School at St. Francis of Assisi Parish in Norristown, and the Archdiocese of Philadelphia and their employees and representatives, from claims arising or related to my/our child’s participation.

My/our child understands and agrees to abide by all rules and regulations established by the school pertaining to such field trip.

I/we consent and give permission for emergency medical care for my/our child that may be needed as a result of my/our child’s participation.

Insurance:                                                                                                                                          

Group #                                                                                                                                              

I.D. #                                                                                                                                                    

Signatures

Student                                                                                                                                Date                                                     

Parent/Guardian                                                                                                              Date                                                     

Parent/Guardian                                                                                                              Date                                                     

Each student must return this signed permission form before being permitted to participate on the field trip.  If both parents have custody, they both must sign.  If one parent is out of town or otherwise unavailable, this fact should be noted on the form.  If only one parent has custody, permission must be obtained from this parent with acknowledgment that this parent is sole custodian of the child.  If there are 2 guardians, permission must be obtained as indicated above for two parents.  If there is no parent and only one guardian, permission must be obtained from the sole guardian with the acknowledgment that he/she is the sole guardian.