Forms

CarlyntonSchool District

__ Parental Consent Waiver of Liability __ I, the parent/guardian of _______________________________________________ do hereby consent to his/her participation in the field trip coordinated by the Carlynton School District G.A.T.E. Department on __________________ and going to ____________________________________________ I waive any and all claims of liability against the Carlynton School District, its officers, directors, employees, agents and assigns, which may arise as result of the above student’s participation in the field trip.

Date: Parent/Guardian Signature:_________________________ If you have any questions email or call Mrs. Veri ~ Carnegie 412-429-2540, Crafton 412-922-7196 HS- 412-429-2500 ext. 2918 marybeth.veri@carlynton.k12.pa.us