Parent/Guardian Signature *
PLEASE READ COMPLETELY BEFORE SIGNING: By adding your name below, you are giving Heritage Academy and its proxies permission to transport your child to locations listed in the tour. There are risks of physical harm or injury that could result from participating in this trip. I voluntarily elect my minor child to participate in this trip and assume the risks of harm or injury that could result from participation. On my own behalf and that of my personal representatives and heirs, I hereby release Heritage Academy, its officers, employees, and agents from all liability for any injury or harm to my minor child as a result of participating in any authorized activity. I further release the use of my minor child's likeness, voice, and words in video, film, and print to Heritage Academy. In recognizing that Heritage Academy only provides simply topical general first aid supplies, I hereby authorize Heritage Academy staff to assist my minor child in securing emergency medical services if such a need arises. I also hereby authorize emergency medical or surgical care by licensed medical care providers. PLEASE SIGN NAME BELOW.