Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
La Galaxy Game Waiver

La Galaxy Game Waiver

Ratings: (0)|Views: 7|Likes:
Published by LA SCORES

More info:

Published by: LA SCORES on Jun 11, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

06/16/2009

pdf

text

original

 
FIELD TRIP TO THE LA GALAXY SOCCER GAMEWHERE
: THE HOME DEPOT CENTER18400 AVALON BOULEVARDCARSON, CA 90746310-630-2000
WHEN:
 JUNE 13
th
, 2009
TIME:
 The bus will depart from Palms Middle School along Palms Blvd. at 6 PM. The Game kicks off at 7:30 PM. The buses will return to Palms Middle School along Palms Blvd. atapproximately 10 PM. All LA SCORES coaches will remain with thestudents until they have been picked up by parents.
DETAILS:
Students will travel by school bus transportation provided by BernieBus Lines to watch the game with their teammates and coaches. This is awonderful opportunity for these kids and is well-deserved for all they haveaccomplished during the fall season.
ADULT CHAPERONES:
LA SCORES COACHES AND STAFFPARENT VOLUNTEERSLA SCORES STAFF: David Joseph, Executive Director (310) 351-1815Amy Fleischauer, Program Director (310) 883-8710
Please Complete the Following:
I hereby grant permission for mychild________________________________________________ to participate in the field tripto watch the LA Galaxy Soccer Game. I understand that the trip will be going to The Home Depot Center, and that LA SCORES will be transporting my child.Parent/Guardian Contact 1________________________________________________\Phone Number___________________________________ Parent Guardian Contact 2________________________________________________ Phone Number___________________________________ 
3685 Motor Ave., Suite 110● Los Angeles, CA 90064 Tel: 310-204-6455 ● Fax: 310-204-6455
 
PERMISSION RELEASE
As the parent or legal guardian of this child___________________________________, I give permis-sion for him/her to be transported to and participate in the LA SCORES Field Trip to the Home DepotCenter. I understand that this permission slip includes my permission for my child to participate, and Iassume all risks and hazards, including the risk of serious injury, and do hereby release and waive allclaims against LA SCORES, its officers, directors, coaches, sponsors, volunteers, other participants,and the LAUSD School District. I further grant permission for emergency first aid to be given in caseof injury.I understand that LA SCORES and the LAUSD School District assumes no responsibility for seeing toit that the above named minor reports to activities at LA SCORES, and I, on my own behalf of thisminor, waive all claims for any liability arising or actions occurring before the minor has reported toLA SCORES.I hereby release, discharge and/or otherwise indemnify LA SCORES, its employees, sponsors, Board of Directors, and associated personnel, and the LAUSD School District against any claims by or on behalf of the registrant’s participation and/or being transported to or from the same, which transportation Ihereby authorize. My child has received a physical examination and has been found physically capableof participating in the Program.Therefore I grant the LA SCORES’ Coaches to permission to act as my surrogate for my child in thisarea of obtaining medical treatment by a doctor of medicine or dentistry. I also assume financial re-sponsibility for any medical treatment of my child.SIGNATURE OF PARENT / GUARDIAN:NAME___________________________________________________________ DATE___________I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rulesand instruction of LA SCORES coaches and staff. My child has received a physical examination andhas been found physically capable of participating in this event. Recognizing the possibility of physical
3685 Motor Ave., Suite 110● Los Angeles, CA 90064 Tel: 310-204-6455 ● Fax: 310-204-6455

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->