IN CONSIDERATION of  Highbury Education Centre offering my child an opportunity to participate in the activity described below on May 15, 2019, I hereby give and provide my consent, and acknowledge by my signature that my child may participate.

Activity Description to be written here. Include 1) time frame, 2 transportation arrangements, 3) required skills and competencies,  4) equipment and clothing required.
Students will be travelling to Ross Farm Museum to take part in the hands on program offered by Ross Farm staff.
1) 9:30am - 3:00pm on May 17, 2019
2) Students will travel in rental vans and/or staff vehicles
3) None
4) Dress for the weather as we will be outdoors

Insert description of risks that are highly probable but of low adversity and those of high adversity and low probability.
Those associated with travel
Risk of burns as some students will be cooking and some will be blacksmithing
Possibility of sprains and broken bones as we will be walking
Risks from being around large agricultural animals

Will be with HEC staff (3) and Ross Farm staff

Please check the box that applies to your child.

I will supply appropriate equipment and clothing for my child’s participation in this activity as identified.

I acknowledge that it is the responsibility of me and my child to ensure that all necessary equipment and clothing is brought by my child to the event and acknowledge that my child may be prevented from participation if s/he does not have all necessary equipment and clothing.

My child and I understand that the school Code of Conduct applies during this activity.  My child and I also understand that site rules and regulations are in place for this activity and my child agrees to abide by these rules and regulations.  I acknowledge that I have explained to my child that any prohibited actions may result in my child not being allowed to participate or continue in the activity.

Accidents can result from the nature of this activity and can occur with or without any fault on either the part of the student, school board or its employees or agents, or the facility where the activity is taking place.  By allowing my son/daughter to participate in this activity, I accept the risk of an accident and agree that this activity, as described above, is suitable for my child.

In submitting this form, I am not relying on any oral or written representation or statement(s) made by the Regional Centre, its servants, agents, employees, or authorized volunteers to induce me to allow my child’s participation in this activity other than those contained in this Consent.

I am 19 years of age or older and I have carefully read the contents of this consent form and have clarified any concerns with the staff at the school organizing the event or the School Principal before signing each page.  I understand that it is a legal document that is binding on me, my heirs, executors and administrators.