swimming & field trip permission form - the cub housecubhousechildcare.com/documents/summer camp...
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Swimming & Field Trip Permission Form The Cub House Child Care Center
Summer Camp Program
APPROVAL
DATE LOCATION TIME TRANSPORTATION SIGNATURE
6/13/18 Greenbriar Pool 12:30-3:30 Walking ________________
East Coast Custard
6/15/18 Metro Parks 12:30-3:30 Walking ________________
Picnic
6/20/18 Indians Game 12:30-3:00 Bus ________________
6/22/18 Yorktown Lanes 12:30-3:30 Bus _________
6/27/18 Greenbriar Pool 1:30-3:30 Walking ________________
6/29/18 Brecksville 10:00-1:30 Bus
Nature Center ________________
7/2/18 Kurtz Park 9:30-11:30 Walking ________________
7/11/18 Greenbriar Pool 10:15-2:30 Walking ________________
7/13/18 Zoo 10:30-3:30 Bus ________________
I. Swimming Permission
I, __________________, give permission for my child, __________________, birthdate ___________
to participate on the swimming & field trips listed below, with The Cub House Child Care Center from June
4--August 10, 2018. No additional staff members are needed while children are swimming. Lifeguards are
also on duty during the scheduled swim time.
My Child is a (check one) _____ Swimmer (3ft. pool) _____ Non-Swimmer (children’s activity pool)
II. Field Trip Permission
I, __________________, am the ___father/____mother/____ custodial parent/____legal guardian
(check one) of ________________, a minor attending/enrolled at The Cub House Child Care Center. I
hereby request permission for the above-named child to attend the field trip to:
Parents/Guardians: Please sign your name after each field trip you give your child permission to
attend.
7/18/18 Greenbriar Pool 12:30-3:30 Walking ________________
7/20/18 Fun-n-Stuff 10:30-3:30 Bus __________
Macedonia
7/25/18 Greenbriar Pool 10:00-3:00 Walking ____
7/27/18 Planetarium 9:30-3:30 Bus __________
8/1/18 Greenbriar Pool 12:30-3:30 Walking ________________
8/3/18 Metro Parks 11:30-2:30 Walking ________________
Picnic
Furthermore, in signing this document, I consent to the above-named child’s
participation in the aforementioned field trips.
In consideration of the above-named child being allowed to participate in the field trip,
I, on behalf of my child, my spouse, hereby assume all risks in connection with the field
trip and I further release The Cub House Child Care Center, as well as their respective
employees and volunteers from all claims, judgements, and liability for any injury or
damage related to the above-named child’s participation in the field trips, including all
risks connected therewith whether foreseen or unforeseen. Furthermore, I
acknowledge that it is my responsibility to provide adequate health insurance for my
child.
I fully understand what is involved in the field trip and I understand that I have the
opportunity to call the director of The Cub House Child Care Center to ask about the
field trip.
_____________________________ ______________
Parent/Guardian Signature Date
The Cub House Child Care Center would like permission to photograph your child for
our photo albums and bulletin boards here at the center. Please check Yes or No, sign
your name, and date.
Thank You.
______________________ ____ ____ ______________
Parent/Guardian Signature YES NO Date