TEMPLE CHAYAI SHALOM

239 DEPOT STREET SOUTH EASTON, MA 02375

FIELD TRIP PERMISSION SLIP Dear Parents/Guardians, One focus of the sixth curriculum is tikkun olam, social action. As part of their studies students will have the opportunity to learn about different social issues and participate in direct service work related to their learning. The first of these trips off site will be on Sunday morning, September 25. Students will be working at Kaohivas Farm, 887 Lincoln Street in Franklin, MA and

RABBI JODI SEEWALD SMITH RABBI EMERITUS PAUL LEVENSON CANTORIAL SOLOIST DAVID ROTHBERG DIRECTOR OF EDUCATION KIM BODEMER PRESIDENT JEN FABER VICE PRESIDENTS LEW LEVINE STEVE SMARGON TREASURER JEFF NATAUPSKY FINANCIAL SECRETARY MARCIA HICKS SECRETARY LISA ZENACK IMMEDIATE PAST PRESIDENTS BOB KRENTZMAN MOLLIE MILLER TEMPLE ADMINISTRATOR MERYL LEVENSON

will travel by bus. The bus will leave promptly at 9:30 a.m. from Olmsted School and return back by 11:30 a.m. Please be sure to have your child to Olmsted on-time to ensure a seat on the bus.
Parents are invited and encouraged to accompany their children on this and all Bnai TELEM off-site trips. Kindly fill out the information below and have your child return it no later than Sunday, September 25th. Please note that no one will be able to participate in the trip that doesnt have a signed permission slip. Thank you for your cooperation. --------------------------------------------------------------------------------------------------------I give permission for my child __________________________________ to attend the above named field trip. I will chaperone this trip. ______ I understand that my child will be transported by bus. IN THE EVENT of an injury, accident, loss or damage resulting for the above named field trip, I hereby agree to indemnify and hold harmless Temple Chayai Shalom, the School Committee, The Youth Committee and any official agent or employee, from liability for such accident, injury loss or damage. FURTHER, I grant permission for medical treatment of my child in the event that an injury or illness does occur. Hospitals REQUIRE a parents/guardians signature before any medical treatment is given. _______________ Date ________________________________ Signature of Parent / Guardian

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PHONE: (508) 238-6385 FAX: (508) 238-2113 OFFICE@TEMPLECHAYAISHALOM.ORG