Trip Permission

TRIP PERMISSION

The undersigned _______________________________, referred to as the parent(s) and lawful guardian(s) of _______________________________, a minor.

Parent(s) acknowledge(s) that said minor is authorized to take the following trip: _______________________________, and to engage in all activities incident thereto.

Parent(s) hereby appoint(s) _______________________________, as loco parentis, and authorize(s) the rendering of such emergency medical care as could be undertaken by the parent(s). The parent(s) hereby release(s) _______________________________ and its agents and employees from any and all acts taken in good faith during the trip.


Signed this _____ day of ______________________, 20____.


In the presence of:


_____________________________ 
Signature of Witness

_____________________________ 
Printed Name of Witness


_____________________________
Signature of Parent 1

_____________________________
Printed Name of Parent 1


_____________________________ 
Signature of Parent 2

_____________________________ 
Printed Name of Parent 2