Cobb County School District
Form IFCB-3
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“BLANKET” PERMISSION TO PARTICIPATE
IN A SERIES OF SCHOOL SPONSORED FIELD TRIPS
I hereby request that (Student’s Name-PLEASE PRINT): be allowed to participate in athletic team, band, orchestra, chorus, and/or any series of field trips related to one particular area of study or activity. I understand that transportation may or may not be provided by the Cobb County School District (District). In the event transportation is not provided by the District, transportation will be the student’s responsibility.
Detailed trip information, including destination, date, time of departure, time of return, purpose, and supervision, should be given in writing to the parents at least two (2) weeks prior to each trip in the series.
The District does not or may not carry any insurance relative to the trip, including the cost of the trip, or for injuries to the student. I represent that the student has insurance either through the student accident insurance offered by the District or through my own insurance carrier.
If any emergency medical procedures or treatment are required by the student during the trip, I consent to the trip supervisor(s) taking, arranging for, and consenting to the procedures or treatment in his/her or their discretion.
I agree to release, indemnify, and hold harmless the Cobb County School District (District), its Board of Education, and its employees, agents, or assignees, as well as its approved adult trip supervisors (“District Indemnitees”) from and forever promise not to sue them on any and all claims, demands, rights, causes of action, liabilities, losses, damages, costs and expenses (including reasonable attorneys’ fees), whether known or unknown, that I, any other parent or guardian of the above-named student, or the student may have or may allege to have against the District Indemnitees or which may be brought against the District Indemnitees arising out of or in any manner relating to the student’s participation in the field trips, including but not limited to the rendering of emergency medical procedures or treatment.
I agree that my child will ride home from away basketball games with me or another designated parent only. I accept all responsibility for my child’s transportation home from away basketball games. I agree for my child to ride home from away basketball games with the following parents:
Any freshman cheerleader parent
Only parents listed _____________________; __________________________; _________________________
NOTE: This form must be signed by student if the student is 18 years of age or older.
Name of Student (PLEASE PRINT) Signature of Student Date
Name of Parent/Guardian (PLEASE PRINT) Signature of Parent/Guardian Date