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field trip to tl'B l'4ontgornerg Zool Pleosefill out oM return Upur child's field trip Apermission form wifh o $ IO.OO pogment trbu Mondou. l,hrch 30th. V tbg l-'londog, l'4orch 30th. f#*

F Uou ore interested in becoming o ffi fficl'roperone for this field trip(gou mqg rrot bring siblings if gou ore ocfroperorre), pleose let gar child'steocl'Br krrow os soon os possible.

Tfronk Uou for oll glol do in frelpingmoke this cn^/esorne kirrdergorten fieldtrip a successl

With our best,

l*,lorch f3, 20 15

Deor Porents,On Fridog, April lOth, CWESKindergorten will be toking o

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ffiyw@@d$ffiremffivTrAp PermffiSt@m F@m

t,Mother/Fother/Guordion (circle one)

Hereby gront permission for my child,

to go on the trip to The Montoomerv Zoo

Time ond Dote of Deporture: April ,|0,

20]5 ot 8:00 om (Dote/Time)

Time ond Dote of Return: Aeril 10, 20]5 ot 2:00 pm (Dote/Time)

Method of Tronsporiotion: Bus

TeocherlClqss: S. Jones' Closs

Cost to Student (if any)$ $,|0.00

In gronting this permission I hereby expressly woive my cloim for liobility ogoinsi Auburn City Schools,the Boord of Educotion, including its employees ond representotives, qnd releose them from ollliobility in connection with this trip.

Furiher, I ossume full responsibilityfor ony domoge to persons or property coused by my child orword. lfurtherexpressly ogree thoi in ihe eveni that disciplinoryoction moy be necessory, my childorword mcy be forthwith returned home oi my expense.

Further, in cose of injuryoremergency to my child orword, I hereby outhorizethe schoolto oct inthe best interest of my child. I further consent ond will be responsible for ony medicol or dentoltreotment thot moy be odvisoble qt the discretion of ony physicion or dentist. I undentond thot Iwill be personolly notified if it becomes necessory for my child orword to be reiurned home end/orrequire heolth ireotment.

Itis furtherwononied thot if this CONSENT FORM is signed by one of two porents orguordions, it iswiih the outhorityof the other.

THE COST OF THE FIETD TRIP IS NON.REFUNDABLE

Signoture of Porent or Guordion Dote

Pleose return to school by:

l-l lwould like to donote o I for the field trip, my child will hove o:| ' scholorship for o siudent(s) | f-t

who connot pcry for ihis field I L-l School Lunchtrip. The extro scholorship | --money is enclosed wiih my I LJ Home Lunchchild's poymeni. I

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