Rhetoric Retreat Intent Form

Please submit this form by Monday, June 9.

After submitting this intent form, cancellations should be requested via email to Barbara Kester.

Student's Name * Required
First Last
Grade Level * Required
- 9th Grade
- 10th Grade
- 11th Grade
- 12th Grade
Intent * Required
- This student WILL Attend
- This student WILL NOT Attend
Financial Responsibility * Required
- The cost of this trip is $225 and it will be billed to FACTS in August. I understand that $50 is non-refundable and that cancellations received by Friday, August 8, will receive a refund of $175 and cancellations received after August 8 will result in a loss of 100% of the trip cost.
Dietary Restrictions * Required
Please note any dietary restrictions your child has. If there are none, please indicate "None."
None
Consent and Release * Required
- I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITY, INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold The Geneva School and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future in connection with the activity or participation in any other associated activities. I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, non-withstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital. I affirm that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I GIVE THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.
Reasons for Non-Participation * Required
Non Participation * Required
- I understand that if my child does not participate in the trip, I will need to make other arrangements for him/her while the remainder of the rhetoric students are away.
Name of person submitting form * Required
First Last
Email address to confirm receipt of this form * Required
Enter Email Confirm Email
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Rhetoric Retreat Intent Form

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