OVERNIGHT SKI/SNOWBOARD TRIP

VERMONT

PARENTAL CONSENT FORM

I, hereby give permission to ______to attend the River Dell Regional High School overnight ski/snowboard trip to Stowe and Killington Vermont in February. I have read the information sheet including the code of conduct. I understand that the students must behave in a mature and reasonable manner at all times. I also understand that I am responsible for any damages my child may cause while on the trip and must pick up said child if he/she is a disciplinary problem. I give permission for my child to be transported by taxi, automobile or van driven by a teacher or member of the ski resort personnel in the event of an injury.

SIGNATURE OF PARENT OR GUARDIAN ______

DATE ______

TELEPHONE NUMBER WHERE A PARENT CAN BE REACHED

______

MEDICAL INSURANCE COMPANY AND IDENTIFICATION NUMBER

______

NAME OF ROOMMATES

______

______

______

GRADE ______BIRTH DATE ______GENDER ______

FOR THE STUDENT

I have read the rules for the trip and agree to abide by them. I understand failure to abide by these rules will result in disciplinary action, including, but not limited to, being sent home early with no refund. I also understand the trip is for skiing/snowboarding and I will be expected to adhere to the curfew and be on time for the bus to the mountain in the morning. (Curfew 11:00 PM)

______

PRINT STUDENT NAME STUDENT SIGNATURE

****This check will be nonrefundable if there are enough students to run the trip.****

OVERNIGHT SKI/SNOWBOARD TRIP

RULES

NO ALCOHOL OR ANY OTHER DRUG USE OF ANY KIND.

11:00 PM CURFEW

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ALL RULES WITH REGARD TO ROOM USAGE MUST BE ADHERED TO

YOU MUST BE IN YOUR ROOM FOR THE NIGHT.

-

YOU MUST LEAVE THE HOTEL AND SKI EACH DAY.

RESPONSIBLE AND COURTEOUS BEHAVIOR IS EXPECTED AT ALL TIMES.

CHAPERONES RESERVE THE RIGHT TO INSPECT ROOMS AND LUGGAGE

AT ANY TIME.

**** ANY STUDENT CAUGHT VIOLATING THESE RULES WILL HAVE THEIR PARENTS CALLED AND ASKED TO PICK THEM UP. IF THIS OCCURS THERE WILL BE NO REFUND.