St. Gabriel Parish School
20 E. Cleveland Avenue Mrs. Patricia Grady
Norwood, PA 19074 Principal
610-532-3234
Parent{s} / Guardian{s} Permission and Release
For Student's Participation in
_________________________________________
Field Trip
We,{I}as parent{s}or legal guardian{s} give permission for____________________
to participate in the St. Gabriel Parish School field trip on_________________
to ________________________________________________ which includes all related
programs or events. In consideration for our{my} son's/daughter's
participation in the field trip, and intending to be legally bound, we{I} and
our{my} son/daughter agree and understand that we assume risk in full for our
{my} son's/daughter's participation on the field trip, and will full
knowledge of the risk inherent on such field trip, we release and hold
harmless the school, Parish, the Archdiocese of Philadelphia, and its
priests, religious, teachers, aides, employees, agents, administrators, and
any official representatives, from any and all liability, damages, or claims
for any and all person injury, bodily injury, and/or property damage arising
or related to our{my} son's/daughter's participation on the field trip,
except for medical payments up to $300, or as otherwise described, and
provided in the Student Accident Insurance Policy.
We{I} and our{my} son/daughter undstand and agree to abide by all rules and
regulations established by St. Gabriel Parish School pertaining to the field
trip.
_________________________________________________ ____________________
Student's Name Date
_________________________________________________ ____________________
Parent/Guardian Signature Date
_________________________________________________ ____________________
Parent/Guardian Signature Date
*Both parents and/or guardians should sign this Permission and Release. If
one parent and/or guardian is out of town or otherwise unavailable, the fact
should be noted on the form. If only one parent has custody, permission must
be obtained from this parent with an acknowledgement that this parent is sole
custodian of the child. If there is no parent and only one guardian,
permission must be obtained from the sole guardian with an acknowledgement
that he/she is the sole guardian.
N.B.: Each student must return the signed Permission and Release Form before
being permitted to participate on the field trip.