Asian Art Museum Field Trip
Hello Tilden Families,

Thank you for taking the time to fill out the form below.

This form serves as a Permission Slip, Medical Consent Form, and RSVP.

If you have any questions, contact your campus.

Albany
Phone: 510-525-5506
Email: @adminalbany@tildenprep.com

Walnut Creek
Phone: 925-933-5506
Email: adminwc@tildenprep.com
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Parent(s) Name *
Student(s) Name *
Do you authorize Tilden to take photos of your student during the event to use for promotional uses (social media, newsletters, etc.)
 *
Emergency Contact - Name, Relationship, Contact Number
 *
I authorize Tilden Prep to deduct $0 from my register for my student to attend this event. 

The Asian Art Museum is free every first Sunday, so there's no fee for admission.
 *
It is understood that with any activity there is a chance of accidents. In such an event, I consent to medical treatment and assume full responsibility and liability for any and all expenses, damage, accident, illness, injury or medical expense of and/or to my child or school property resulting from such participation.

I attest and affirm that the participant has no limitation that would prevent participation in the activity and I have not been advised or informed by anyone to the contrary. Every reasonable effort will be made by the school to contact parent/guardians before any medical services are provided. In cases where contact is tried but not made, I give consent for medical personnel to administer medical services as needed.

I have read and agreed to the above.

Electronic signature:
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Are you interested in chaperoning for this event? *
I understand my student is to be dropped off at the museum by 9:45am and picked up promptly at 12pm.

I understand Tilden Prep isn't responsible for transporting my student to and from the museum.
 *
I hereby grant permission for my student to attend the Asian Art Museum field trip.

Electronic signature:
 *
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