THE SCHOOL DISTRICT OF STURGEON BAY and STURGEON BAY SOCCER CLUB, INC.
UWGB MEN’S SOCCER GAME FIELD TRIP FOR 7TH/8TH GRADE PLAYERS

Parent / Legal Guardian Consent Formfor Field Trips and Extra-Curricular Trips

* Bus will pick-up at back of SBHS at 5:45 PM on Saturday, October 10, 2015

*ALL PLAYERS WILL RIDE THE BUS TO AND FROM UWGB (this will help us keep

track of all students easier)

* Players and chaperonesmust wear their Sturgeon Bay Soccer Club (SBSC) Soccer Jersey or apparel

* Respectful and mature behavior expected at all times

* Concessions available for purchase at game, bring own spending money

* Bus will return at back of SBHS at approximately 9:45 PM on Saturday, October 10, 2015

We, as parents or guardians of ______, do hereby

(Name of Child)

grant our permission and consent for such child to participate in the field trip described as Sturgeon Bay Soccer Club 7th/8th Grade Players Field Trip to the UWGB Men’s Soccer Gameto be held on Saturday, October 10, 2015 on the UWGB campus at 7:00 PM.

In granting such permission and consent, we:

  1. Acknowledge and assume full responsibility for any and all damage to person or property caused by our child or ward during such activity.
  2. Expressly authorize emergency medical or dental treatment deemed necessary by the school district, its agents/employees, and SBSC soccer club volunteers during such activity.
  3. Expressly agree that in the event that any disciplinary action or the health of my child requires that my child be returned home during such activity, that such return shall be accomplished at our expense.
  4. Expressly agree that we, the undersigned, waive and release all claims against the School District of Sturgeon Bay, SBSC soccer club, any tour/trip organizer, accompanying teachers, chaperones, or arrangers employed on this trip, from any injury, loss, damage, accident, medical care, delay, or expense regardless of its cause. We also release and agree to indemnify and defend the school district, its agents, officials, and employees from any liability whatsoever related to our child’s participation in this trip.

We expressly acknowledge that we have carefully read this statement and understand its impact and effect. We acknowledge and understand that if we have any questions in regard to this statement, that we have exercised our right to have it reviewed and further explained to us prior to our signing.

Dated this _____ day of ______, ______.______

(Signature of Parent / Guardian)

______

(Signature of Parent / Guardian)

______

(Phone) (Parent / Guardian Address, City, State, and ZIP)