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Park Youth Groups Trips & Events Waiver 2023-2024


PARK SYNAGOGUE YOUTH GROUP FIELD TRIP WAIVER 2022-2023

My child has my permission to go on and participate in educational field trips sponsored by The Park Synagogue Youth Groups at any time during the 2023-2024 school year. I understand my child will travel by bus or private car and will be accompanied by staff and/or parents. I release The Park Synagogue, its agents (whether or not compensated, and including parents of other students or other chaperones) and employees from all liability during or arising in connection with or from any such activities, and waive any and all claims that I or my child may have against The Park Synagogue or any of its officers, trustees, agents or employees as a result of my child participating in any such trip or activity. I also authorize any such agent or employee of The Park Synagogue to obtain medical advice, services and/or treatment for my child if such person reasonably deems any such medical advice, services and/or treatment to be necessary or advisable provided that such person first makes a reasonable attempt to notify me by telephone at the number below if circumstances permit.

I agree to notify The Park Synagogue Youth Groups if at any time the above information is changed or incorrect. The Park Synagogue is entitled to rely on the above information and any additional information about my child of which I inform you in writing.

I and my child clearly understand that no smoking or drugs, other than those prescribed by a licensed physician will be permitted on any trip.

I and my child also understand that, in the event of behavior unacceptable to The Park Synagogue agents or employees, you will send my child home at my expense after making a reasonable attempt to notify me.

Note: This trip waiver covers all trips during the school year. You will be notified, in advance, about each trip, which will state destination, departure and return times, and method of transportation.

Emergency Medical Authorization

I/We hereby grant permission to the Hospital and the emergency room physician to administer any emergency treatment deemed necessary. This authorization does not cover major surgery unless the medical opinions of two other licensed physicians, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.

Child's Medical History

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