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Community Ed. LogoCommunity Education Skating Program
School District #25

Need A Release Form For Your Child
Print and Cut Out This Form
(only needed for Community Ed. Functions)

 

Community Ed. Logo                   Community Education Skating Program
                                School District #25

Dear Parent, Community Education personnel have carefully planned a trip to the DELETA SKATING RINK.  Adult Supervision and instruction will be provided by Deleta.  Neither Community Education nor Deleta can provide insurance.  Each student will participate at his/her own risk.
A.  School buses will transport students to Deleta and back to the school.  Students who ride the bus to the rink are required to ride it back to school.  IF YOU WOULD LIKE TO PICK UP YOUR CHILD AT THE SKATING RINK, PLEASE BE THERE NO LATER THAN 20 MINUTES BEFORE THE "RETURN AT SCHOOL" TIME INDICATED BELOW.  PLEASE CHECK OUT WITH THE DELETA SUPERVISOR.   ALSO, CHILDREN WILL NOT BE ALLOWED TO STAY AT THE RINK TO WAIT FOR A RIDE.
B.  Please PICK UP your child at the school PROMPTLY AT THE TIME INDICATED BELOW.
C.  The price of bus fare and admission is $3.00.  Send an extra .25 CENTS FOR A LOCKER if you desire.  The children are expected to keep track of their own money.  Please send .35 cents if a phone call will need to be made.
D.  Parents are invited to skate with their children anytime FREE OF CHARGE during Community Ed. Skating.

RELEASE OF LIABILITY:  The undersigned who is a PARENT or GUARDIAN of the named minor child, hereby releases Community Education and Scool District #25 and Deleta Skating Rink, and their respective owners, he/she participates in the skating activity, which begins at the time the named child boards the bus at his/her school and ends when the child is returned to the school.  I understand that as soon as the named child is returned to the school at the conclusion of the activity, the undersigned will assume full responsibility for the named child.  The undersigned further understands the risks inherent in roller skating. but, nevertheless, is willing on behalf of the named child to assume all risks in connection with the skating activity

Child's Name:
_________________________________________________
Signature of Parent/Guardian:
_________________________________________________
Date:
_________________________________________________
Address:
_________________________________________________
Phone # (where parent/guardian can be reached in case of emergency)
_________________________________________________

Return To School Times 5PM
- Bonneville
- Edahow
- Gate City
- Green Acres
- Indian Hills
- Lewis & Clark
- Lincoln
- Tyhee
- Wilcox

Return To School Times 5:15PM
- Chubbuck
- Ellis
- Jefferson
- Syringa
- Tendoy
- Washington


 

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