10th Grade Boys Gilchrist Weekend Intent FormPlease submit by Friday, September 6, 2024. Student's LEGAL Name * RequiredPlease enter the student's LEGAL name. First Last Student's Date of Birth Month Day Year Intent * Required This student WILL Attend This student WILL NOT Attend I need to postpone this decision Father's name * Required First Last Mother's name * Required First Last Food Allergies and Dietary Restrictions * RequiredMany of the meals on this trip are selected in advance from a fixed menu. If your child has food allergies or other dietary restrictions, please briefly enter them here. If none, please enter "None".NoneConsent 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 or Delayed Decision * RequiredThis trip is an important educational component of the curriculum. If your child will not be participating, or if you need to delay your decision, please use the space below to help us understand why that is the case.Non Participation/Late Decisions * 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 class is away. I understand that if I make a late decision for my child to participate, his/her participation will be subject to availability and may incur additional expense. If there is a cost differential associated with a postponed decision, I will be made aware of that before I am required to make the financial committment. Name of person submitting form * Required First Last Email address to confirm receipt of this form * Required Enter Email Confirm Email CAPTCHA
