Field Trip – 2nd Grade – Headwaters Academy

Activity: 2nd Grade – Allison Woods

Description: Our 2nd grade class will be traveling to Allison Woods to participate in their outdoor classroom learning center

Location:

248 Allisons Woods Dr, Statesville, NC 28625

Date: April 3rd

Time: 8:30am – 2pm

A few more details:

We will be leaving the school at 8:30am in 1 of our church buses with a qualified driver.

We will be eating lunch there. Students that purchased a school lunch will be provided with a bagged lunch and drink. All other students need to pack a lunch and drink that is fully disposable with their name on it. We will keep lunches in a cooler.

Please be sure your child wears a Headwaters t-shirt, closed toed shoes, preferably tennis shoes and dress appropriately for the expected weather that day.

Child's Name*
First Last
Emergency Contact Name*
First Last
Emergency Contact Phone*
Parent/Legal Guardian's Name*
I give permission for my child to take part in this activity.
First Last
Parent/Legal Guardian Signature*
I am fully aware that my child will be transported to and from this activity and that there will be ample supervision. I have previously completed a Medical/Liability Release Form for my child. By signing this permission slip, I am confirming that the information on his/her Medical/Liability Release Form is current and up to date. I understand in the unlikely event of an accident or emergency that my child will receive adequate care based upon the information given. I assume all risks, hazards and incidentals involved in the conduct of the activity. I do hereby release, indemnify and hold harmless Headwaters Educational Enrichment and South River Baptist Church from any and all loss, injury or other damage arising out of this activity. I understand that the child will be transported to and from the offiste activity and I also understand the inherent risks in any travel, and agree to waive any and all liability on behalf of the referenced organizations for those risks.
Email*
Enter Email Confirm Email
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.