Field Trip – Victoria Gardens

St. Mark’s Lutheran School
Sponsoring Class: Kindergarten- 8th Grade
Destination of Field Trip: Victorian Gardens (15 Hilltop Village Center Drive. Eureka, MO 63025)
Date: 2023-24 School Year
Between the hours of 8:30 a.m. - 3:30 p.m.
Cost: None
Details: No drivers or chaperones needed.

Student Information

1. Student Name
2. Student Name
3. Student Name
Address
Additional Emergency Name
Consent Information: We, the undersigned parents/guardians of the above named participant, grant permission for the participant to participate in the aforementioned field trip. We, furthermore, authorize transportation as described above for the participant. We have been advised of the nature and extent of the activities that may take place and represent to you that the participant is physically and mentally able to participate in those activities. We further understand that the activity does present the risk of injury, or even death, to the participant and we have advised the participant of these possibilities. We represent to you that we and the participant assume risk of any such injury or death, and hold you, your agents, employees, and representatives harmless from any liability for injury or death to the participant while engaged in this activity which is caused or contributed to by the conduct of the participant. We further agree to indemnify and defend you against any claim or liability asserted against you for any such injury or death to the participant. We also hold you, your agents, employees, and representatives harmless from all liability to any other person or entity arising as a result of the conduct of the participant in this activity, and agree to defend and indemnify your agents, employees, and representatives against any claim or liability arising as a result of such conduct. If we are not personally present at these activities in which the participant is to participate, so as to be consulted in the case of necessity, you are authorized on our behalf to arrange for such medical and hospital treatment as you may deem advisable for the health and well being of the participant.
Parent Signature

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