Chartwell High School Field Experience

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Field Experience Waiver

Being the parent or legal guardian of the following student, I give my permission for him/her/they to participate in the upcoming Chartwell High School Field Experience to Natural Bridges on Friday, April 30th from 9:30AM to 1:00 PM under the supervision of Chartwell staff. *

Yes

I am a legal adult (18 years or older)

Required

Parent / Guardian Name (First and Last) *

Phone Number *

Email: *

Student Name *

TRANSPORTATION

I understand that it is my responsibility as parent/guardian to make transportation arrangements for my student(s). It is also my responsibility to communicate those arrangements to my student(s) involved. CHS will not be responsible for anyone who does not follow these guidelines.

NOTICE: Due to COVID precautions and safety reasons, we are requesting that you drop off and pick up at location

Indicate mode of transportation *

Student will drive self to Natural Bridge

Parent/Guardian will drop off & pick up student at Natural Bridges

Pre-arranged Carpool to Natural Bridges

Student needs ride from Chartwell (EXTREMELY LIMITED - Drop Off at 8:15 AM - Pick up at 2PM)

For Carpool ONLY - Please indicate your carpool driver here:

Thank you for completing this form. If you have any further questions or concerns, please contact Nena Prakash at nprakash@chartwell.org

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