Enrichment Activity – Offsite Permission Form for PKs

Activity: Field Trip to Rescue Ranch

Location: 1424 Turnersburg Hwy. Statesville, NC 28625

Date: May 14th, 2024

Time: 9:30 am – 11:30am (PKs must arrive by 9:30am to participate in the activity schedule)

Cost: Free for Headwaters Pre-L students, $12 for parent or guardian. Limit is one parent or guardian per child and no siblings due to group size allowed for rotations.

You can send a Check (made to SRBC), Cash or the Online Payment Link below for the ONE Adult that will be bringing your child – cost is $12 (payment must be received by 11:30 on May 10th > https://onrealm.org/headwaters/give/fieldtrip

We will be sending home a waiver on Monday, May 6th that is required by Rescue Ranch.  Please fill that out and return to us by May 10th.

Description: Our Pre-K students will need to travel with their parent or designated guardian to Rescue Ranch. There, they will be meet up with the rest of their class. Our 1st rotation will begin promptly at 9:30am, so please make sure you arrive at 9:30am so that you won’t miss that activity. We will be able to enjoy the rest of the ranch together until 11:am when we will have a short bible study and lunch (please pack one for you and your PreK).  Once we finish, you are able to leave or you can stay and play until 3:30pm when they close.

  • I give permission for my child to take part in this activity and I or someone that I appoint will be attending the activity with them.
  • 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.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.