Flandrau Field Trip - November 19, 2024

EDGE HIGH SCHOOL

Field Trip Permission Form

DATE: November 19, 2024

TIME: 8:30AM – 12:30 PM

DEPARTING Edge Himmel Park at 8:30 AM

RETURNING to Edge Himmel Park between-12:30-1:00 PM

DESTINATION: University of Arizona Flandrau Science Center

PURPOSE: Flandrau Science Center Exploration and Show

TRANSPORTATION: Walking

TRIP SPONSOR: Edge High School

Please complete the permission slip form no later than Friday, November 15th @ 4PM. .

School Site:
- Himmel Park (HP Edge)
- Northwest (NW Edge)
Field Trip Selected
Student may fill out this form if +18

Fields with an asterisk are required.
Student Name*
Student First Student Last
Guardian Name (Self if student 18+ is signing)*
First Last
Address*
Street Address City State ZIP Code
Cell Number*
Emergency Contact Number
Student Email*
Guardian Email*
I give permission for the identified student to travel with Edge Staff as indicated in the field trip details provided on the accompanying page.
I realize that Edge High School’s liability coverage only applies to injury if negligence is proven against Edge High School and the terms and conditions of the contractual liability coverage provided in favor of Edge High School have been met; in all other circumstances, the student’s health insurance will provide coverage for the student’s injuries.
Medical Release: In case of accident or serious illness, I request the trip sponsor to contact me. If I cannot be reached, I hereby authorize the trip sponsor to call the physician indicated on the health record and follow his/her instructions. If it is impossible to contact the physician, the trip sponsor may make whatever arrangements are necessary. The trip sponsor will follow special medical treatment, including any information regarding allergies or drug reactions, as listed on the student’s medical data provided by Edge High School.
Signature
Signatures will be compared with enrollment documents on file.

Flandrau Field Trip – November 19, 2024