YMCA OF GREATER CLEVELAND
Solon YMCA SUMMER 2016 FIELD TRIP PERMISSION SLIP
June 5 – August 16, 2017
BELOW IS INFORMATION AND A PERMISSION SLIP FOR THE SCHEDULED FIELD TRIPS AND SWIMMING ACTIVITIES FOR SUMMER CAMP AT ArTHUR ROAD ELEMENTARY SCHOOL. BE SURE TO SIGN, DATE AND INITIAL THE FORM (UNDER PARENT INITIALS). THIS PERMISSION SLIP MUST BE TURNED IN BEFORE YOUR CHILD MAY ATTEND CAMP FOR THAT GIVEN WEEK. ALL PERMISSION SLIPS ARE DUE ON OR BEFORE MONDAY MORNING AT THE START OF CAMP. IF A FIELD TRIP IS CHANGED, YOU WILL RECEIVE A CORRECTED FIELD TRIP PERMISSION SLIP FOR THAT PARTICULAR DAY/ACTIVITY.
FIELD TRIP PERMISSION:
DAY/DATE / FIELD TRIP DESTINATION(Include Address) / DEPARTURE TIME / APPROX. RETURN TIME / TYPE OF TRANS.
(CHECK ONE) / PARENT INITIALS
June 6, 2017 / Liberty Park
9577 Liberty Road
Twinsburg, Ohio 44087 / 10:00 am / 1:00 pm / Bus
June 8, 2017 / Wagon Trails
907 Youngstown-Kingsville
Vienna, Ohio 44473 / 9:00 am / 4:00 pm / Bus
June 13,
2017 / Preston’s Hope Playground
26001 South Woodland Road
Beachwood, Ohio 44122 / 10:00 am / 4:00 pm / Bus
June 15, 2017 / Domino’s Pizza
33670 Aurora Road
Solon, Ohio 44139
Solon Community Park
35000 Portz Parkway
Solon, Oh 44139 / 8:30 am / 4:00 pm / Bus
June 20,
2017 / Garfield Nature Ctr. & Reservation
11350 Broadway Ave
Garfield, Oh,44125 / 10:00 am / 1:00 pm / Bus
June 22,
2017 / Roseland Lanes
26383 Broadway, Oakwood Village, 44146 / 10:00 am / 4:00 pm / Bus
June 27, 2017 / Sunny Lake Park
855 E. Mennonite Rd.
Aurora, Ohio 44202 / 10:00 am / 1:00 pm / Bus
June 29, 2017 / United Skates
30325 Palisades Pkwy.
Wickliffe, Ohio 44092 / 10:00 am / 4:00 pm / Bus
July 6, 2017 / Natural History Museum
1 Wade Oval Dr., University Circle
Cleveland, 44106 / 10:00 am / 1:00 pm / Bus
July 11, 2017 / Kidsstation Playground & Safety Village
4200 Fish Creek Rd, Stow, Ohio 44224 / 10:00 am / 4:00 pm / Bus
July 13, 2017 / Castel Noel
260 S. Court St.
Medina, Ohio 44256 / 10.00 am / 1:00 pm / Bus
July 18, 2017 / SKIP Playground
3870 Darrow Road, Stow, Ohio 44224 / 10:00 am / 4:00 pm / Bus
July 20, 2017 / Fun n’ Stuff
661 E. Highland Road
Macedonia, Ohio 44056 / 10:00 am / 1:00 pm / Bus
July 25,
2017 / Lake Bell Park
14532 Lake Ave.
Lakewood, Oh., 44056 / 10:00 am / 1:00 pm / On Site
July 27, 2017 / Camp Y Noah
815 Mt. Pleasant Rd
Clinton, Ohio 44216 / 9:00 am / 1:00 pm / Bus
August 1,
2017 / Glenwood Meadow Park
Glenwood, Twinsburg, Ohio / 10:00 am / 4:00 pm / Bus
August 3, 2017 / Cleveland Zoo
3900 Wildlife Way
Cleveland, Ohio 44109 / 10:00 am / 1:00 pm / Bus
August 8, 2017 / North Chagrin Reservation
Mayfield Village, Oh 44143 / 10:00 am / 4:00 pm / On Site
August 10, 2017 / Make Believe Family Fun Center
8303 Day Dr.
Parma, Ohio 44129 / 10:00 am / 4:00 pm / Bus
August 14, 15, 16, 2017 / Solon Community Park
35000 Portz Parkway
Solon, Oh 44139 / 10:00 am / 3:00 pm / Walk
Transportation services will be provided by (YMCA Staff check one):
x YMCA owned/operated bus Leased bus with YMCA driver Contracted bus services through school district
In any of the above field trips, will children have access to water that is two or more feet in depth? No X Yes
If yes, list field trip destination(s): See below
Are water activities planned in water that is two or more feet in depth? No X Yes
If yes, complete swimming permission section
SWIMMING PERMISSION (CHECK APPROPRIATE ANSWER):
1. MY CHILD IS A _____ SWIMMER _____ NON-SWIMMER
2. MY CHILD HAS PERMISSION TO PARTICIPATE IN WATER ACTIVITIES ____ YES ____ NO
DAY/DATE / LOCATION OF SWIMMING SITE / START TIME / END TIME / TYPE OF TRANS. / PARENT INITIALSJune 9,13,16,20,23, 27,30
July 7,11,14,18, 21,25,28
August 1,4,8
2017 / Warrensville YMCA Branch
4433 Northfield Road, Warrensville Heights, Ohio 44128 / Tuesday
2:00 pm
Friday
12:00 am / Tuesday
3:00 pm
Friday
1:00 pm / Bus
Transportation services will be provided by (YMCA Staff check one):
YMCA owned/operated bus X Leased bus with YMCA driver Contracted bus services through school district
THE CENTER WILL NOT BE PROVIDING ADDITIONAL ADULTS OR STAFF MEMBERS ABOVE THE RATIO REQUIREMENTS FOR THESE SWIMMING ACTIVITIES.
In the consideration of the opportunity for my child to be a participant in the YMCA of Greater Cleveland’s child care field trip, I, the parent or guardian, hereby assume all risks and release and hold harmless the Association and all its members, volunteers and employees from any claim that might arise as the result of my child’s participation in the field trip including transportation related to the field trip. I have read the above and willingly consent to allow my child’s participation under the above stated condition.
______
CHILD’S NAMEDATE OF BIRTH
______
PARENT/GUARDIAN SIGNATUREDATE
REV 6/07