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NORTH EAST ISD

FIELD TRIP PERMISSION FORM

Field Trip lnformation

The undersigned Parent/Guardian (hereinafter, "1") understands that one or more teachers/chaperones will accompany thestudents on the field trip, and that normal precautions will be taken in their interest for safety and well-being.

School districts are immune from liability except when property damage, personal injury or death is caused by a districtemployee's negligent operation of a motor vehicle while performing district duties. As a result, and as a general rule, theDistrict cannot pay for medicai treatment for injuries resulting from activities not directly caused by a district employee's useof a motor vehicle. ln case of emergency, I give my approval and authorization for first-aid treatment and any medicaltreatment of the student named above (the "Student") by local physicians and/or hospitals, including surgi€al procedures. I

agree to accept responsibility for payment of all charges incurred during medical treatment.

I hereby agree to release North East lndependent School District and its trustees, employees, volunteers, and sponsors(collectively, the "lndemnitees"), and to indemnify and hold the lndemnitees harmless from, all claims, liabilities, andexpenses, (including (a) claims made by the student named above after reaching the age of majority, and (b) claims fordamages caused in whole or in part by the negligence of the lndemnitees) relating in any way to the student's participation in

the fieid trlp identified herein.

This form must be signed and returned to the sponsor, teacher or administrator in charge of this group by the end of the schoolday on March 6, 2020. No student will be permitted to go on this trip who has not completed this forrn and returned it to theproper school personnel or who has altered the form in any way.

Signature of Parent/Guardian Printed Name of Parent/Guardian

Purpose: Senior Class Field Trip

Destination: Main Event Entertainment - 1911 N. Loop 1604 East, San Antonio, TX 78232

Date/Time of Departure: 9:30 AM on Wednesday, April 8, 2020

Date/Time of Return: 1:50 PM on Wednesday, April 8, 2020

Mode of Transportation: School Bus

MeatArrangements:2 slices of pizza included in price of dues and students will be back on campus forsenior lunch

school Name & Phone fliRoosevelt High School- 210-356-2200 or 270-356-2217

Teacher Name: Leticia Peralta

other: Bring extra money if you'dlike to play arcade games.

Bowling, billiards, laser tag, andgravity ropes are alreadyincluded in dues.

School Principal Signature

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Money Needed: None, as long as senior dues are paid.

Continue onto the back of this page to complete the "ln case of emergency" contact section

NORTH EAST ISD

FIELD TRIP PERMISSION FORM

Field Trip lnformation (continued)

ln case of emergency, school district staff should contact:

Name Relationship to Student Phone Number

Name Relationship to Student Phone Number

Updated: June 2014 (Forms dated earlier tha n this should be discarded.)

lfyou would like forthe teachersto be aware ofany other medicalinformation (food allergies, medicine to be administered, etc.)please provide

this information on the lines below:

'ffiiNORTH EAST ISD

FIELD TRIP PERMISSION FORM

Field Trip lnformation

Parents - Take Note of the lnformation on this Top Port for Your Records

The undersigned Parent/Guardian (hereinafter, "1") understands that one or more teachers/chaperones will accompany thestudents on the field trip, and that normal precautions will be taken in their interest for safety and well-being.

School districts are immune from liability except when property damage, personal injury or death is caused by a districtemployee's negligent operation of a motor vehicle while performing district duties. As a result, and as a general rule, theDistrict cannot pay for medical treatment for injuries resulting from activities not directly caused by a district employee's use

of a motor vehicle. ln case of emergency, I give my approval and authorization for first-aid treatment and any medicaltreatment of the student named above (the "Student") by local physicians and/or hospitals, including surgical procedures. I

aBree to accept responsibility for payment of all char8es incurred during medical treatment.

I hereby agree to release North East lndependent School District and its trustees, employees, volunteers, and sponsors(collectively, the "lndemnitees"), and to indemnify and hold the lndemnitees harmless from, all claims, liabilities, andexpenses, (including (a) claims made by the student named above after reaching the age of majority, and (b) claims fordamages caused in whole or in part by the negliBence of the lndemnitees) relating in any way to the student's participation in

the field trip identified herein.

This form must be signed and returned to the sponsor, teacher or administrator in charge of this Broup by the end of the schoolday on March 3, 2017. No student will be permitted to go on this trip who has not completed this form and returned it to theproper school personnel or who has altered the form in any way.

SiBnature of Parent/6uardian Printed Name of Parent/Guardian

Purpose: Senior Class Field Trips

Destination: Palladium IMAX Theatre (Santikos) - 177031-10, San Antonio, fx78257Date/Time of Departure: 9:30 AM on Tuesday, April 7, 2020

Date/Time of Return: 1:50 PM on Tuesday, April 7, 2020

Mode of Transportation: School Bus

Mealarrangementsr Students will be back on campus for senior lunch.

Money Needed: None, as long as senior dues are paid.

School Name & Phone #:

Roosevelt High School - 270-356-2277 or 210-356-2200

Teacher Namer Leticia Peralta

other: Bring extra money forpopcorn and candy if you'd likethese items.

School Principal Signature 2o*-

Continue onto the back of this page to complete the "ln case of emergency" contact section

6-,"..*r" *, ,.,*,.,,*) '::T:::ff::H I il;erd trip to Palladium rheatres

NORTH EAST ISD

F!ELD TRIP PERMISSION FORM

Field Trip lnformation (contin ued )

ln case of emergency, school district staff should contact:

Name Relationship to Student Phone Number

Na me Relationship to Student Phone Number

Updated: June 2014 (Forms dated eadier than this should be discarded.)

lf you would like for the teachers to be aware of any other medical information (food allergies, medicine to be administered, etc.) please provide

this rnformation on the lines below: