2022-23 Elementary Field Trip Liability Parental Consent and Release Form

Dear Parents of Elementary Students,

Throughout the year, your child's class will be going on various field trips. Field trips/activities are carefully planned to correlate with and enhance your child’s learning. For each field trip your child will receive a permission slip outlining the activity, costs to be incurred, and timings. In advance, please take a moment to review the information below regarding liability, transportation, and student conduct. You need only sign and complete this form one time for the 2022 – 2023 academic school year.


Field Trip Liability Parental Consent and Release Form
Parent/Guardian Permission: My child, listed above, has my permission to join the class field trips for the year of 2022 - 2023 and ride in the designated vehicle which may include a car of a CBA teacher, staff member, or parent to and from the activities. I grant permission for my child to receive emergency medical care if needed. If there is an emergency, I authorize CBA to notify the contacts I have listed below.
Per the Charleston Bilingual Academy Parent Handbook Agreement form,
If your child is injured at school and does not need medical attention, you will receive either a note from your child’s teacher or a phone call explaining the injury. An incident report will be filled out for all accidents and kept in the office. In the event of a major accident or a life-threatening emergency, 911 will be called and your child will be transported to the nearest medical facility as determined by the Paramedics. You will be contacted immediately. If the emergency is life-threatening and you cannot be reached, the physician has permission to act accordingly, absolving the School of any liability.

Liability: In the case of an accident, allergies or serious illness, I request the School to contact us but we also waive and release the School from any liability in regards to these circumstances. If the School is unable to contact us or the provided emergency contact when circumstances indicate immediate action is required, the School may make whatever arrangements are required in its best judgment.
Conduct During Activity: I understand that my child’s participation in a field trip activity is a privilege, and not a right. I acknowledge that I have spoken with my child about my child’s need to comply with the specific rules and requirements established for this activity, all school policies and procedures, rules of conduct set forth by the school, and state and federal regulations and laws. I understand that all school rules and policies apply to my child and the other students during the course of the field trip.
Transportation Permissions and Waiver: I understand that a driver, which may include a teacher, an administrator, or the parent of another student participating in the activity, will be transporting students to and from field trip activities. The owner of the vehicle must carry bodily injury insurance. The school’s insurance does not cover damages arising from, or related to, the operation of any private vehicle, failure to follow the directed driving route, or any personal negligence related to this activity. Any damages/harm resulting from a designated driver arising from the operation of a motor vehicle in relation to the above listed activity, is hereby waived.
I also understand that I have the ability to refuse to sign this form. In addition, if I refuse to sign, my child will not be permitted to participate in field trip activities.
Acknowledgement of Personal Liability and Waiver: I also understand that field trips may expose my child to some risks and I assume any such risk that may arise there from. I accept full responsibility for all medical expenses for any injuries that might occur to my child by reason of his/her participation. By signing this form, however, I hereby release CBA, its Board members, administrators, directors, officers, teachers, employees, agents, assigns, and volunteer (“release parties”) from and against any and all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain (a) arising out of my child’s failure to comply with local, state, and federal laws and school policies, procedures, and rules of conduct; (b) arising out of any damage or injury caused by my child; or (c) arising out of a parent/guardian/or other designated driver’s operation of a motor vehicle in relation to this activity. I also agree to indemnify and hold harmless the released parties from the released claims, including any and all related costs, attorney fees, liabilities, settlements, and/or judgments.