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Embed code for: Parental Permission Form Scatter Joy1
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PARENTAL PERMISSION AND RELEASE OF LIABILITY Omaha Public Schools This form must be completed (please print) and signed as a necessary prerequisite for participation in the below named activity. We the undersigned, as parent(s) and guardian(s) of ________________________________________________________ (Student’s full name) do hereby give permission for _________________________________to engage in the following activity. (Student’s first name) Burke DECA volunteers at Scatter Joy Acres. 4966 Newport Ave, Omaha, 68152. February 18th, 2017. 12-2 PM. Due: 2/18/17 Mode of transportation: provided by student, carpooling is encouraged *In case parent or guardian cannot be reached in time of emergency contact: (phone No.) (Name of third party) We fully understand the nature of the activity(s) described above and the risk of injury or loss of property associated with that activity. The signing of this permission slip releases the school district and its employees from any claims made by the child or on behalf of the child should injury or loss of property occur as a result of his/her participation, except when either the school district or its employees are found negligent in the performance of responsibilities associated with the activity. We acknowledge that we have read this Permission and Release form and fully understand its contents and the consequences of signing this form. _______________________________________________________________________ (Father) (Guardian) Home phone No./Business Phone No. __________________________ _______________________________________________________________________ (Month) (Day) (Year) (Mother) (Guardian) Home phone No./Business Phone No.