Ski Trip Permission Slip 2016

7/25/2019 Ski Trip Permission Slip 2016

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Ski Trip at Mountain Creek Ski Resort!If you are interested in having your child participate in this event, please complete all sections of

this form, sign and return to Morgan. Please contact Morgan with any questions.

__________________________________________(Name of student) is interested in participating

in the activity.

ease return thisActivity Participation Form" as #e as the Transportation Form"

Medical Information and Authorization to Treat a Minorand General Release of

Liability Form#ith payment (cash or check made out to $usion %cademy) &y

'NS%*" $+R,%R* -.

NATU! "# A$TI%IT&' Ski Trip for a $usion Students

(AT!' $riday" $e&ruary /0" /1-0

TIM! "# (!PATU!'2311am at $usion4s ark %ve ocation at 561 ark %venue South

ease arrive prompty so #e can eave the city on time.

ANTI$IPAT!( TIM!

"# !TUN'

7311 M

8ease &e at the campus at this time to pick up your chid. The

chaperones #i &e in touch #ith the parents to reay any

changes in times if #e are running ahead or &ehind schedue.

A$TI%IT& )P"N)"' Morgan 9eisert

A$TI%IT&

IN#"MATI"N'

All of the New &or* #usions are +oining together for a super eciting day

of s*iing and snow tu-ing at Mountain $ree* )*i esort in %ernon

Township, N/ The day will -e spent s*iing, snow tu-ing, and hanging out

with other #usion fol* in the )*i 0odge/ The cost of the trip includes roundtrip transportation, a meal voucher, s*i lift tic*ets, rentals, a lesson, and

helmet. Please send your child with etra poc*et money for snac*s and

drin*s.

$")T'$or skiing ony3 :-;1

$or sno# tu&ing ony3 :71

M!T1"( "#

TAN)P"TATI"N'

$oach -us

ease pace your initias after each statement &eo#3

I understand the nature of the school activity in which my son2daughter will -e

participating and that he2she is epected to a-ide -y all school regulations during

the course of the activity. 33333 I ac*nowledge that I have signed the attached 4eneral elease of 0ia-ility #orm.

33333 I ac*nowledge that I have signed the attached Medical Information and

Authori5ation to Treat a Minor #orm.

33333 I ac*nowledge that I have signed the attached Transportation elease #orm.

33333

#usion Academy Morristown 678 )outh )t. )uite 9 Morristown, N :;


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I here-y give my permission for him2her to participate in the a-ove?descri-ed

activity. 33333

333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333

)ignature of Parent24uardian (ate

Parent Permission to Release Students to Authorized Person for Transportation

I, as parent or guardian, give permission for (print name of student) ______________________________ to be

transported to and/or from Fusion Academy located at 450 Park Ave out!, "e# $ork, "$, during t!e period from

________________ to _________________% I release Fusion Academy, its officers, emplo&ees, agents, and affiliated

companies from an& liabilit& arising out of personal in'uries and/or propert& damage resulting from or in an& #a&

connected to m& c!ilds transport to and from sc!ool%

(All parents/guardians must sign)

_______________________________________ _________________________ignature of Parent/uardian *ome +elep!one "umber

_______________________________________ _________________________Address ork +elep!one "umber_______________________________________

_______________________________________

-ate ___________________________________

_______________________________________ _________________________ignature of Parent/uardian *ome +elep!one "umber

_______________________________________ _________________________Address ork +elep!one "umber_______________________________________

_______________________________________

-ate __________________________________



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Medica


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Parent24uardian )ignature

333333333333333333333

(ate

WAIVER AND GENERAL RELEASE OF LIABILITY

Required for all Sports, E, a!d E"tra#urri#ular arti#ipatio!

1. er$issio! a!d Volu!tar% Assu$ptio! of Ris&' My child/ward has permission to participate in the Fusion Academy

and Learning Center sports and/or extracurricular program. Participation may include attendance at off-site actiities

and sporting eents. ! understand and agree that my child/ward may "e transported to actiities in a school-ownedehicle# or contracted/designated ehicle. ! recogni$e that participation in %including trying-out# practicing# traeling

to# and playing& intramural# interscholastic# and recreational sport actiities is a potentially ha$ardous actiity posing

arious safety ris's# including ris's of "odily in(ury# property damage# emotional in(ury# and other dangers associated

with participation in such actiities. )angers include "ut are not limited to* strains# sprains# cuts# "ruises# "ro'en"ones# concussions# heart attac's# paralysis# "rain damage# and een death. +ach participant# including spectators# in

sports actiities should reali$e the ris's and dangers inherent in such actiities and in the training# preparation and

trael to and from such actiities. ! oluntarily assume all ris's# "oth foreseea"le and unforeseea"le# arising from my

child,s/ward,s participation with Fusion Academy and Learning Center team sports# whether caused "y my or my

child,s own actions or the actions of others.

. Wai(er a!d Ge!eral Release of Lia)ilit%' ! waie# release# and foreer discharge Fusion Academy and Learning

Center# its affiliated companies# "oard of directors# coaches# olunteers# managers# officials# and administrators from

any and all lia"ility from in(uries or damages arising out of or resulting from my child,s/ward,s participation in ortrael to and from any actiities associated with the Fusion Academy and Learning Center sports and/or extra-

curricular program. his is intended as a general waier and release of all claims# including "ut not limited to the

negligence or omissions of indiiduals descri"ed a"oe.

. E$er*e!#% +edi#al Treat$e!t' ! authori$e the Fusion employees in attendance at any Fusion Academy and

Learning Center actiity to select and secure medical attention as may "e necessary for my child/ward as a result of

in(uries or other eents re0uiring emergency care or first aide while ! am not in attendance at such eent. Fusion

Academy and Learning Center does not hae its own insurance for sports and/or extra-curricular actiities. his

agreement waies the school,s financial responsi"ility for accidents related to such student actiities.

- Ter$i!atio! of arti#ipatio!' Fusion Academy and Learning Centermay terminate my child,s participation

in any part of or all of a sports and/or extra-curricular actiity wheneer# in the sole (udgment of the school#

continuation of the students participation would "e detrimental to the program or to the interests of thestudent.

2. Bi!di!* Effe#t' his agreement shall "ind my heirs# representaties# executors# administrators and assigns.

3333333333333333333333333333333333333333333 )ate* 33333333333333333333333333333

4tudent,s 5ame



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3333333333333333333333333333333333333333333 )aytime Phone 333333333333333333333

4ignature Parent or Legal 6uardian

3333333333333333333333333333333333333333333 Additional Phone 33333333333333333333

Print 5ame of Parent or Legal 6uardian


Documents

Ski Trip Permission Slip 2016