ARS Field Trip Permission Slip | National Aquarium
Assalamu Alaikum,

Dear Parents/Guardians,

Please fill out this form to give permission for your child's participation in the field trip to the National Aquarium in Baltimore, Maryland on May 11th, 2022. We will leave Al-Rahmah School at 8:30 AM and return by 3:00 PM. In this form, you will be updating medical information and acknowledging of your child abiding by the school code of conduct.

There is no cost to the trip, however, send your child with a packed lunch as food will not be provided. Students must be in uniform with comfortable shoes.

Please complete this form no later than Friday, May 6th, 2022.

Jazakom Allah Khair

Al-Rahmah School Administration
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Email *
Parent Name: *
Parent Email: *
Parent Phone Number/Emergency Contact Number: *
Student Name: *
Student Grade: *
Medical Information
Student Physicians Name: *
Physicians Phone Number. *
Child’s Allergies *
Required
Other medical conditions: *
Any medications needed during or before the trip? Such as asthma inhaler etc. *
I understand that personal injury can and may occur to my child, and I hereby authorize Islamic Society of Baltimore (ISB) and its representatives to seek and consent to emergency medical attention for my child or take whatever reasonable steps he/she deems necessary in order to provide emergency medical care for my child including transportation to a medical facility by ambulance or other vehicle; and I further agree to be liable for and to pay all costs incurred in connection with such medical attention. I hereby release Islamic Society of Baltimore (ISB), its employees, agents and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury that may be sustained by my child while participating in or traveling to and from this event. I give permission for my child to ride in any vehicle designated by Islamic Society of Baltimore (ISB), its employees and adult volunteers, while participating in and traveling to and from this event. I agree to accept full responsibility, financially or otherwise, for any damage my child may do to the property of Islamic Society of Baltimore (ISB), properties visited on outing, other’s personal property, or vehicles used for transportation. Type initials below: *
Acknowledgement of Code of Conduct
Students of Al- Rahmah School are expected to demonstrate good citizenship at all times. Good citizenship means being kind, polite, safe, and respectful of both people and property. I agree to1. Be Kind: I will support ALL classmates, teachers, chaperones and field trip guides. I will follow directions, keep a positive attitude, and not argue. I will encourage my classmates with kind words; I will not use put-downs. I will lend a helping hand when asked and needed. 2. Be Polite:I will show appropriate behavior in public places. I will use appropriate language. � I will use proper etiquette at mealtimes and during free times.3. Be Safe: I will stay with my assigned chaperone and group AT ALL TIMES. � My chaperone will always know and approve of my whereabouts. I will ask permission first! I will always take a friend with me when I use the restroom, get a drink of water, etc. 4. Be Respectful of People and Property: I will respect the right of others to enjoy the field trip and learn. I will not interfere with the enjoyment of other groups or people. I will leave every place I visit better than I found it; I will put my trash where it belongs. 5. I understand that there are consequences if I misbehave. I know that I may be excluded from future field trips if I receive minor infractions. I know that my parents will be called to pick me up early if I receive a major infraction. Agreement: I agree to abide all the rules and consequences listed above during the entire trip.
By signing, the parent acknowledges that he/she read and discussed this contract with his/her child. Type initials below: *
I give permission for my child to participate in this field trip. Please enter your name for an electronic signature . *
Date Signed: *
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