KENNYWOOD PERMISSION FORM:
I (print name of parent/guardian)______________________________________,
the parent/guardian of (print student name____________________________________,
a student at Brownsville Area School District, give my permission for my son/daughter to participate in the field trip on Thursday, May 28th, 2026.
I understand that although the students will be supervised by BASD staff,this does not mean that they will be personally escorting them around the park. I do assume the risk in my student’s participation in the event. I acknowledge that I will not seek to have the School District held liable in the event that any accident, injury, loss of property or any other circumstance or incident occurs during or as a result of my son’s/daughter’s participation in the field trip. This release of liability includes accident, injury, loss, or damages to the student, as well as, to other individuals or property which may result from the student’s participation in the event. I hereby release and agree to hold harmless the School District, its officials, agents and employees, from any claims arising out of my son’s/daughter’s participation in the event(s).
I have read and understand and accept all of the statements recited above and accept full responsibility as described.
BY SIGNING THIS FORM YOU AGREE TO THE TERMS OUTLINED ABOVE AND ACKNOWLEDGE THAT YOU HAVE THE LETTER IN IT’S ENTIRETY.
Student’s Name Printed:_________________________________________________Grade:_______
Cost of trip for your son/daughter: (See above cost breakdown) _________________CASH ONLY!!
Student’s Cell #______________________________________
Parent’s/Guardian’s Name Printed: :_______________________________________________________
Parent Cell#: __________________________________ alternative #:____________________
Any student allergies or concerns list here: __________________________________________
Parent/guardian signature:_________________________________________________
Student signature: _____________________________________________________________