![](3D"PermissionSlip-ThunderAlley_files/image002.jpg")
Archdiocese of
Parent Permission Form for Field Trip Participation
Program Name: &=
nbsp; St.
Marys Life Teen
Address” &=
nbsp; &nbs=
p;
Dear Parent or Legal
Guardian:
Your son/daughter is =
eligible
to participate in a school sponsored activity requiring transportation to a
location away from parish grounds.
The activity will take place under the guidance and supervision of
employees of St. Marys Church. A
brief description of the activity follows:
Activity: &=
nbsp; &nbs=
p; Trip to Thunder Alley
Educational Purpose: =
; End-of-the-year Celebration
Destination: Thunder Alley, Designated
supervisory of activity: &=
nbsp; Lisa Hunke Date
and time of departure: &nb=
sp; =
May 20, 2009, 1:00 p.m., Central Cath=
olic
parking lot Date
and anticipated time of return: =
May 20, 2009, approximately 5:00 p.m<=
/b>. Method
of transportation: &=
nbsp; &nbs=
p; school bus Student Cost:&nbs=
p; $20 for bus, one game of laser tag, o=
ne
go-kart ride, 2 slices of pizza, small soda and =
a $10
Thunder Card which can be used for any game or food item within the
facility. Students should bri=
ng
extra money (optional) if they want to play extra games. If you would like you=
r child
to participate in this event, please complete, sign, and return the followi=
ng
statement of consent and release of liability. As parent or legal guardian, you r=
emain
fully responsible for any legal responsibility which may result from person=
al
actions taken by your child. __________________________________________ &=
nbsp; ________________________ Parent’s Name/Si=
gnature &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp; &=
nbsp; Date ______________________=
__________________________________________________________________________<=
o:p> Address ___________________________________________ &=
nbsp; ______May 15, 2009_____ Emergency phone number=
&=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp; &=
nbsp; Please return this form by
We hereby consent to participation by our child/children, _________________=
___________________
in the event described above. We
understand that this event will take place away from church/school grounds =
and
that our child/children will be under the supervision of the designated
Diocesan employee on the stated dates.&nbs=
p;
We further consent to the conditions stated above on participation in
this event, including the method of transportation.