7th Grade Pittsburgh Trip ~ May 10, 2019

7th Grade Pittsburgh Trip Payment Options

7th Grade Student Pittsburgh Trip Payment Options:
I would like to chaperone.

Release, Indemnification & Waiver of Liability

I hereby grant permission for the above-named child to attend Pittsburgh, PA Trip on May 10, 2019 and I consent to the child's participation in such a field trip by bus transportation.

I understand that all activities have certain risks and could result in injury to the above child. In consideration of the above child being permitted to participate in the above field trip, on behalf of the child and on behalf of the mother, father, next of kin and (if applicable) the guardian of the above child, I hereby assume all risk of injury which may be sustained by the child in connection with the field trip.
 
I further specifically waive, release and discharge the Diocese of Cleveland, Notre Dame Elementary School and the employees and volunteers of the aforesaid school, and/or diocese from all claims arising out of and/or resulting from harm, bodily injury, loss of life or property, damages and losses sustained by the child while participating in the above field trip, including claims of the child’s parents and/or next of kin and/or (if applicable) guardian.
 
I further agree to indemnify the Diocese of Cleveland, Notre Dame Elementary School and the employees/volunteers of the aforesaid school, Diocese and/or their employees/volunteers as a result of injury or damage suffered by the above child and/or the child’s parents and/or next of kin and/or (if applicable) guardian, arising out of the child’s participation in the field trip. Furthermore, I acknowledge that it is my responsibility to provide adequate health insurance for the above child.
 
I fully understand what is involved in the field trip and I understand that I have the opportunity to contact the teacher and ask him/her about the field trip.
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Contact Information

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