Enrichment Activity – Offsite Permission Form

Activity:  Field Trip to Global Restore

Description:  Our Middle School Class will travel in our church van to Global Restore and help organize and pack donations that they receive and pass on to others in need.  This is the ministry that we received the furniture from that is being used in most of our classrooms.

Location: 9525 Monroe Rd STE 150, Charlotte, NC 28270
Date:  September 14th, 2021
Time: 9am – 1:00pm
Cost:  Free

Headwaters Permission Form

  • I give permission for my child to take part in this activity.
  • 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.
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  • This field is for validation purposes and should be left unchanged.