TRANSPORTATION AGREEMENT: I understand that my child may be using school district transportation during the after school Program. I give permission for my child to travel by a school vehicle with the program staff. I understand that only licensed and qualified personnel will operate any vehicle to and from the site, and there will be at least one staff member present at all times. I agree to release the program staff from any and all claims of damages, demands or liabilities, which may arise as a result of my child’s participation on these trips.

OFF SCHOOL GROUNDS AUTHORIZATION: I authorize that my child has permission to go off school grounds when necessary to participate in after school activities, as some activities require the use of a facility or recreational area that is not available at the school. I agree not to hold the leader responsible for any accident or injury that may occur while my child is participating in an activity that is off school grounds. I also will not hold the teachers, school, or the school district responsible for any injuries occurring during said activities.

PHOTOGRAPH/VIDEO AUTHORIZATION: BEACON has my permission to use photographs of my child for the purpose of promotional materials on the BEACON website: www.moabbeacon.net, BEACON’S Facebook page (first names and last initials of students will be displayed), grant reports and promotional materials.

EMERGENCY AUTHORIZATION: I authorize any representative of the after school program to seek medical attention for my child when immediate medical care is warranted by the circumstances and I cannot be reached, or if under the circumstances there is no time to attempt to reach me because of the nature of the injury or illness. I further authorize the health care professional selected by the agency to provide the necessary care and treatment for my child.