Enrichment Activity – Offsite Permission Form

Activity:  Field Trip to Rafter T Farm

Description:  Our 3rd & 4th Grades will travel to Rafter T Farm on our church bus and have an opportunity to learn about horses and take a short ride on a horse as part of their History of the Horse study this year.

Location:  Taylorsville, NC

Date: May 24th, 2022

Time: 8:15 am – 1:45 pm

Cost:  Free

A few more details:

We will be leaving by 8:15am and will spend from 9am to 1pm at the stables, returning to school by 1:45pm.

Students need to wear long pants and closed toed shoes.

Please pack them a lunch in a paper or plastic bag with their name on it and make sure that all items are able to be thrown away.  We will provide bottled waters for them to drink.

A permission form for the stables is required or they will not be able to participate.  This form was sent home on Friday to most students and is by the end of the school day on Monday. For those that did not receive, you will be able to sign on Monday.

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.