Author: Jeanie Kent

Colville Confederated Tribes Head Start
Permission & Release Form for Field Trips
2017-18

As the parent/legal guardian of ___________________________________, I hereby grant permission for him/her to participate in education fieldtrips during the duration of their enrolment in the program. I understand that a minimum of 48 hour notice will be provided before each trip by memo or note from the classroom teacher or site supervisor. I further understand that I may revoke permission for a specific trip by written notice

Consent and Liability Waiver
I hereby give permission for my student to participate in Head Start field trips for the duration of their enrollment with the Colville Confederated Tribes Head Start Program. I understand that my child will be chaperoned by Head Start Staff at all times while away from the school and that field trips may require transportation to a location away from the Head Start building. As a parent or guardian, I understand that the Head Start staff will try to prevent accidents. However, I fully understand that some activities on field trips involve inherent risks to students regardless of all feasible safety measures that may be taken by the program. In consideration of the program’s agreement to allow my child to participate in field trips, I agree to accept responsibility for any loss, damage or injury to my child that occurs during my child’s participation in this field trip that is not the result of fraud, willful injury to a person or property, or the willful or negligent violation of the law by a trustee, employee, or agent of Colville Tribes Head Start program. In the event it becomes necessary for the staff in charge to obtain emergency care for my child, neither he/she nor the program assumes financial liability for expenses incurred because of an accident, injury, illness and/or unforeseen circumstances. I authorize Colville Tribes’ Head Start program employees or volunteers in charge of the students to obtain all necessary emergency medical care and authorize any licensed physician and/or medical personnel to render necessary emergency treatment for my child.
Parent/Guardian Printed Name: ___________________________________
Parent/Guardian Signature: __________________________Date:____________
Teaching Staff/ Bus Driver: ________________________________________ Date:____________
ECE Site Supervisor:_____________________________________________ Date:____________

Colville Confederated Tribes Head Start, 19 Wenatchi St., P.O. Box 150 Nespelem, Wa. 99155
Phone: Reception(509)634-2298

Revised: June 6, 2019, Field Trip Permission: Education File: Section 1: Safety Practice (HSPPS 1302.47)