MARY INSTITUTE AND SAINT LOUIS COUNTRY DAY SCHOOL
MARY INSTITUTE AND SAINT LOUIS COUNTRY DAY SCHOOL
Saint Louis, Missouri
Science Olympiad Contest
RE: _________________________________________
Student Name
I hereby give my permission for my student
______________________________ to participate in the Science
Olympiad competition on February 21st.Important Information:1. The
event will be held at Lindenwood University in St. Charles on
Saturday, Feb. 21st, 20152. Team members are responsible for their
own transportation to and from the event.3. Arrive at Lindenwood
University at 7:30 am.4. Leave after contest award ceremony
(approx. 4:30).5. Students should bring money for lunch or pack
some food.
I will provide transportation for my student. Yes ____ No
____
I give my permission for my student to drive themselves to this
event. Yes ____ No ____
I give my permission for my student to ride with an another
adult driver to the event. Yes ____ No ____
Name of other adult driver. ________________________
I give my permission for my student to ride with a student
driving to the event. Yes ____ No ____
Name of student driving. ________________________
I give my permission for my student to ride in another students
car to go out to lunch. Yes ____ No ____
I give my permission for my student to ride in Dr. Gaws or Dr.
Brandiss car to go out to lunch. Yes _____ No ______
Also, I hereby waive any claim against and release Mary
Institute and Saint Louis Country Day School and its staff for any
injury sustained by my student in connection with this trip or
event.
If the faculty sponsor or adult associated with the event deem
it necessary to seek emergency treatment, I grant permission for my
child to be treated at a nearby medical facility.
_____________________________________
____________________________________
Parent or Legal Guardian
Emergency Phone Contact #1
(Please print)
______________________________________
____________________________________
Parent or Legal Guardian Signature
Emergency Phone Contact #2
_______________________
Date Bring this permission slip to Dr. Brandis or Dr. Gaw by
Feb. 16th (earlier is better.)Dr. Gaws cell phone number:
314-238-4820Dr. Brandiss cell phone number: 503-349-3618
