Name of Field Trip: Lac Du Flambeau Public School
Destination of Field Trip: School Year 2020-2021
PLEASE READ THIS ENTIRE DOCUMENT CAREFULLY BEFORE SIGNING
By signing this agreement we understand:
That the field trip organizer will notify our household of any trip at least one day in advance.
That the Lac du Flambeau School District reserves the right to cancel a trip at any time.
We further understand that a violation of trip's rules and regulations may result in the participant being sent home at their expense.
By completing and submitting the form, I hereby give permission for my child listed on the form to participate in the activity/field trip listed above.
As the parent or legal guardian of a child under 18, I acknowledge that I must sign an Acknowledgement of Risk, Assumption of Risk, Medical Authorization and Release Agreement for my child before he or she can participate in the activity/field trip listed above.
My child will perform only those task assigned, will observe all safety rules, and will use care in the performance of all activities.
I acknowledge that there are risks associated with the activity/field trip listed above, and I agree to assume all such risks.
Should it be necessary for my child to receive medical treatment while participating in this activity/field trip, I give Lac du Flambeau Public School personnel permission to use their judgement to obtain medical services for my child, and I give permission to the physician selected by Lac du Flambeau Public School personnel to render medical treatment deemed necessary and appropriate by the physician.
I agree to release and not to sue the Lac du Flambeau Public School or any agency, employee, officer, agent, or representatives of the Lac du Flambeau Public School in regard to any and all claims, liabilities, suits, or expenses (hereafter collectively "claims"), including claims caused or alleged to be caused by negligence, for any injury, damage, or other loss to me or my child in any way connected with my child's participation in the activity/field trip listed above and that neither I, nor anyone acting on my behalf, will make claim or file a lawsuit against the Lac du Flambeau Public School or any agency, employee, officer, agent, or representative of the Lac Du Flambeau Public School arising out of or in any way relating to the activity/field trip listed above.
I agree to discharge, indemnify and hold harmless the Lac du Flambeau Public School; any agency, employee, agent, or representative of the Lac du Flambeau Public School; and all sponsors and participating volunteer organizations and their agents, employees and representative, from all claims, demands, actions or judgments which I, or my heirs, executors, administrator or assigns may have for any and all injuries and damages known or unknown, caused by or arising out of the activity/field trip listed above.
I HAVE CAREFULLY READ, UNDERSTAND, AND VOLUNTARILY SIGN THIS DOCUMENT AND ACKNOWLEDGE THAT IT SHALL BE EFFECTIVE AND BINDING UPON ME, MY CHILD AND OTHER FAMILY MEMBERS, AND MY HEIRS, EXECUTORS, REPRESENTATIVES AND ESTATE.
Any portion of this Document deemed unlawful or unenforceable shall not affect the remaining provisions, and those remaining provisions shall continue in full force and effect.