usp 487
PERMISSION TO PARTICIPATE
cE IN FIELD TRIPS
OUTSIDE THE LAWRENCE AREA
LAWRENCE.
PUBLIC ScHOo.s
‘Tn connection with the educalional program of USD #497, Lawrence Public Schools, we are
planning to take your child on a field tip outside the Lawrence area, Your waitten consent is
required in order for your child to perticipale ina field trip to mother tovm or city. We try to
plan far enough in advance so children and parents can take care of budgeting concerns
should dny’finaneial obligation be involved.
Student's Name:
frets on Clee vane SEI CeCe i cneael() povecric Acme tases
pater 10/5/i le Destistion; KC Srerwes
Bus
Mode of Transportation:
Depa fom Scboolat: _3'OO Ae Retum to School at,_12' 30 p27
{give my permission formy child to go an schoo! or classroom fil trips outside the
Lawrence are, Jmy child requires emergency medical treatment, [understand that school
personnel will makea reasonable attempt to contact me to seek my permission to authorize
treatment, Iaoloowledge and agree that USD #497, Lawrence Puilic Schools, is'not
responsible fr any medical, hospital expenses and/or charges that are incurred in the medical
treatment or hosplalization of my ahd. A photocopy of this document shall ave the same
oroe and effect asthe original. Izelease USD #497, Lawrence Public Schools, font any and
all claizas of Labilty which may aise out of any transportation provided by privately owned
vehicles,
‘Sgualare of Parent or Guardian Date signed
11/2004