Field Trip for Art Elective – Headwaters Academy

Activity: Art Elective Class – Field Trip to NC Museum of Art

Description: Art II students will be traveling to the NC Museum of Art to observe their various collections on display.

Location:

2110 Blue Ridge Rd, Raleigh, NC 27607

Date: May 8th

Time: 8am – approx 5pm

A few more details:

We will be leaving the school at 8am in one of our church vans with a qualified driver. We plan to return by 5pm depending on traffic. If you child needs us to contact you with our ETA back to school, please let Kim Williams know at 704-881-1459. She will contact you with an ETA for picking up your child.

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 Christian Academy 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
Name
This field is for validation purposes and should be left unchanged.