9th Grade Boys Gilchrist Weekend Intent Form

Student's LEGAL Name * Required
Please enter the student's LEGAL name.
First Last
Student's Date of Birth
MM
DD
YYYY
Student's Gender * Required
- Male
- Female
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 * Required
Many 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".
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 or Delayed Decision * Required
This 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

9th Grade Boys Gilchrist Weekend Intent Form

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