Nutcracker Permission Form – Headwaters Academy

Activity: Nutcracker Student Performance

Description: Our 1st Grade class will be traveling to the High Point Ballet to see the student performance of the Nutcracker

Location: 121 S Centennial St, Suite C, High Point, NC 27260

Date: December 18th

Time: 8:30am – 12:00pm

Cost: Free

A few more details:

We will be leaving the school at 8:30am in one of our church buses driven by a qualified drivers. We will arrive approx 45 min later.

We will watch the performance at 10am and travel back to school for lunch.

Please be sure to pay attention to the teacher’s instructions on dress attire for this trip.

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Child's Name*
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Emergency Contact Name*
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Parent/Legal Guardian's Name*
I give permission for my child to take part in this activity.
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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.
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