School - Activity Release

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 and Time of Departure:

Method of Transportation:

If you would like your child to participate in this 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 student.

Name of child(ren) you are giving permission for

Consent Release

I give permission for my child(ren) to participate 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 on the stated dates. I further consent to the conditions stated above on participation in this event including the method of transportation.

List any health concerns for your child related to this trip.

(PRINT PARENT /GUARDIAN NAME)

GRADE

(PARENT/GUARDIAN SIGNATURE)