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Field Trip Permission Form
FIELD TRIP DETAILS
Date of Trip:_________________________ Location:________________________________________
Type of Site: _____Construction Site _____Not a Construction Site
Description of Activity: _________________________________________________________________
____________________________________________________________________________________
Meet at: Location: __________________________________ Time: ____________________________
Dismiss at: Location: ________________________________ Time: ____________________________
Means of Group Transportation: _____Public Transport _____Private Bus _____ Foot _____Other
Mentor in charge: Name: _____________________________ Mobile number: ____________________
Special instructions (e.g., sturdy shoes): ___________________________________________________
STUDENT AGREEMENT
I, __________________________________________, understand that certain risks are involved in Name of Student
visiting a construction work site, and I accordingly agree to behave properly and to comply with safety rules and any other directives given to me at the work site by ACE mentors or representatives of the contractor leading the tour. Further, I agree to wear any required clothing such as my own hard-toe shoes or to don helmets distributed by the contractor.
SIGNATURE OF STUDENT
X__________________________________________________________________________________ Signature of Student Date
ACE Mentor Program - Los Angeles/Orange County 409 N. Pacific Coast Hwy., #565 · Redondo Beach, CA 90277 · 805.210.5527
[email protected] · www.acementor.org
Career Directions for Students in Architecture, Construction and Engineering
Field Trip Permission Form – page 2
PARENT/GUARDIAN CONSENT FORM
In order for your child to participate, this form must be filled out, signed, and returned to your child's ACE team mentors before the event begins.
I hereby give consent for my son/daughter, ___________________________________________, to Print Name
participate on the above Field Trip. I understand he/she will be accompanied by mentors from the ACE Mentor Program. In consideration of the permission granted to my son/daughter by The ACE Mentor Program to participate in the Field Trip indicated above, I hereby agree, to the fullest extent permitted by law, to hold harmless, defend, and indemnify The ACE Mentor Program from any and all claims, suits, demands, damages, losses, judgments, payments, awards, and expenses (including reasonable attorney’s fees and costs) that may arise in connection with this Field Trip.
SIGNATURE OF PARENT OR GUARDIAN
X__________________________________________________________________________________ Signature of Parent or Guardian Print Name Date
Emergency Contact Number: _____________________________
