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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 ________________ 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.

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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