Student Field Trip Policy

STUDENT FIELD TRIP POLICY

This Student Field Trip Policy sets forth the conditions, authorizations, and responsibilities governing participation by students in school-sponsored off-campus activities. Participation is contingent on compliance with the behavioral, medical, and administrative requirements described below and on timely submission of a signed permission and release by the student's parent or legal guardian.

Student Information

Parent / Guardian Information

Trip Details

Trip Destination:    Trip Date:    Departure Time:    Return Time:

Transportation provided by: School bus Parent/guardian transport Commercial carrier Walking/local

Anticipated chaperone ratio: . All chaperones are subject to school screening and required training consistent with school policy.

Medical, Emergency & Special Needs

I authorize designated school personnel to administer the above medications to my child in accordance with the school’s medication administration procedures and to communicate with the prescribing clinician as necessary.

Standards of Conduct and Disciplinary Actions

Students are expected to comply with all school rules, chaperone instructions, and site regulations while participating in the trip. Unacceptable conduct (including but not limited to possession of prohibited items, insubordination, or actions that endanger self or others) may result in immediate removal from the trip at the parent/guardian’s expense, disciplinary sanctions upon return, and/or notification to law enforcement where appropriate.

I have reviewed the standards of conduct with the student and understand that violations may result in removal from the trip and further disciplinary action.

Consent, Release and Assumption of Risk

By signing below, I, the undersigned parent or legal guardian, grant permission for my child to participate in the school-sponsored field trip described above. I acknowledge and agree that: (a) participation involves inherent risks and hazards; (b) the school and its employees and agents will take reasonable precautions but cannot guarantee safety; (c) I authorize emergency medical treatment if warranted and understand that I am responsible for any resulting medical expenses not covered by insurance; and (d) to the fullest extent permitted by law I release, hold harmless, and indemnify the school, its employees, volunteers, and agents from claims arising from my child's participation except for willful misconduct or gross negligence.

I grant permission for my child to participate and acknowledge the terms of the release and assumption of risk above.

I consent to the mode(s) of transportation indicated above and understand that my child must follow vehicle safety procedures while in transit.

I grant permission for my child to be photographed or recorded for educational, archival, or promotional purposes consistent with school policy. I understand that images may be used by the school unless I have notified the school in writing to withhold such authorization.

Acknowledgment and Certification

I certify that the information provided on this form is true and complete to the best of my knowledge. I understand that failure to disclose relevant medical information, deliberate misrepresentation, or failure to comply with trip requirements may result in disqualification from participation.

Please provide any additional instructions or notes for supervising staff:

School Use Only

Staff Contact for Trip:

Risk Assessment Completed: Yes Follow-up required

Sign Now