7th Grade Bike Trip Permission Form - Holy Redeemer Catholic Parish

Dear Parent or legal Guardian:
Your son/daughter 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 employees from Holy Redeemer School. A brief description of the activity follows:

Name of the Event

Destination

Designated Supervisor of Activity

Date & Time of Departure

Date & Time of Return

Student Cost

Method of Transportation

Dress

Supplies Needed for the Trip

Arrangements for Lunch

Consent

If you would like your child to participate in the event, please complete, sign, and return the following statement of consent. As parent or legal guardian, you remain fully responsible of any legal responsibility, which may result from personal actions by the named student

Name of Student

List any health concerns for your child related to this trip

ACKNOWLEDGEMENT

I hereby consent to participation of my child in the event described above. I understand that this event will take place away from the school grounds and that my child will be under the supervision of the designated school employee and parent volunteers on the stated dates. I further consent to the conditions stated above on the participation in the event including the method of transportation. As parent or legal guardian, you may remain fully responsible for any legal responsibility which may result from personal actions by the named student.

Parent / Guardian Name

Emergency Phone Number

Parent / Guardian Signature

Clear

Date Signed