Outing Club Waiver

STUDENT INFORMATION

Child First and Last Name(Required)

Child Grade(Required)

WAIVER AND RELEASE OF CLAIMS

SELECT TRIP: This waiver applies to the trip listed below:(Required)

I (named below) state that I am the parent or legal guardian of the child (Child Name) listed above, a student at Long Trail School and that in consideration of the agreement by the school to permit my child to participate in Outing Club Trip (listed above), I state that:(Required)

Parent Email(Required)