ATA Black Belt Academy

2008 FIELD TRIP RELEASE FORM

__________________________________________________ HAS MY PERMISSION TO GO AND

PARTICIPATE IN ALL FIELD TRIPS WITH ATA Black Belt Academy, after school and Summer Camp in approved vehicles with authorized staff and volunteers. All trips will be announced prior to each excursion and an individual permission slip must be signed and returned to the center in order for your child to attend the field trip.

 

 

 

 

Signature ___________________________________________________________

                                                    Parent or legal guardian

 

Date _______________________________________________________________

 

 

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PHOTOGRAPHY RELEASE

 

ATA Black Belt Academy, After School and Summer camp has my permission to photograph my child.

 

Signature ___________________________________________________________

                                                    Parent or legal guardian

 

Date _______________________________________________________________

 

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INSURANCE STATEMENT

-

I am aware the ATA Black Belt Academy does not provide any type of accident/liability insurance.

 

Signature __________________________________________________________

                                                    Parent or legal guardian

 

Date ______________________________________________________________