As the parent/guardian of the above named student, I have read the field trip itinerary and I understand that there are risks of physical injury associated with participation in these activities.

I authorize qualified emergency medical professionals to examine, and in the event of injury or serious illness, administer emergency care to the above named student. I understand every effort will be made to contact me to explain the nature of the problem prior to any involved treatment. In the event it becomes necessary for the school district staff-in-charge to obtain emergency care for my student, neither he/she nor the school district assumes financial liability for expenses incurred because of the accident, injury, illness, and/or unforeseen circumstances.

These activities are an extension of the school education program and student conduct is to be in accordance with the school's published rules and regulations.

**Please read and discuss this part with your student.** I pledge that my conduct will, at all times, reflect credit upon myself, my parents/guardians, and my school. I understand the school rules of conduct apply while on the trip.

I understand that in the case of serious violation of the rules outlined in the Student Rights and Responsibilities Handbook, that my parent(s)/guardian(s) will be called and that I will be sent home at their expense.