Fill and Sign the Sample Letter of Reqestin Permission for Trip with Time Line Form

FIELD TRIP PERMISSION AND WAIVER I,       give permission for my child       , age       to leave       for purposes of traveling in a car or on public transportation for any reason including normal conditions under which children are transported including but not limited to trips to parks, zoos, play centers, shopping and a variety of locations for educational and entertainment purposes, including any emergency situations. I give permission for said child to walk to and/or participate in activities geared for my child but away from above mentioned Childcare Provider under the supervision of             or any authorized employees of       . I further agree to assume responsibility for any liability, which may arise out of ordinary negligence or otherwise, with the exception of acts of gross negligence, or intentional, willful or wanton misconduct. On behalf of myself, my heirs, assigns, child, and next of kin, I waive all claims for damages, injuries and death sustained to my child or property that I may have against the       to such activity whether caused by the ordinary negligence of the released party or otherwise, with the exception of acts of gross negligence, or intentional, willful or wanton misconduct as indicated above.       will inform me in advance of field trips beyond the immediate neighborhood. Mother’s Signature: _____________________ Date:       Father’s Signature: _____________________ Date: