Field Trip and Event Permission Form

Field Trip and Special Event Permission Form

At The Hebrew Academy we make learning engaging and relevant. We provide many hands-on and real-life experiences that enable our students to extend learning into their community. Throughout the school year students will have the opportunity to attend a variety of field trip and event opportunities.

By initialing and signing this form, you will not be required to complete permission forms for each individual field trip or event. By signing this form you are authorizing permission for your student to go on all field trips and events that have been advertised in classroom newsletters or otherwise communicated to you via email. If this form is not received, we will assume it means that you do not want your child to participate in the field trips throughout the school year.

Thank you in advance for reducing the amount of paperwork required to offer these exciting opportunities to our students

How many children will be attending the Hebrew Academy this year?* Please Note: This does not include children enrolled in our Preschool Program

I give permission to the following child(ren) to participate in all field trips and special events with their grade.

Child (1)*

First Name Last Name Grade

Child (2)

First Name Last Name Grade

Child (3)

First Name Last Name Grade

Child (4)

First Name Last Name Grade

Child (5)

First Name Last Name Grade

Child (6)

First Name Last Name Grade

Child (7)

First Name Last Name Grade

Child (8)

First Name Last Name Grade

Parents Signature*

First Name Last Name

Today's Date*

Month Day Year

Please note any medication your child has permission to take during the field trip as well as pertinent health information or directives.

*If medication is necessary, attach a copy of the updated prescription for our files.*

I (we) authorize medical treatment for my (our) child in case of an emergency. This is to include x-ray examination, anesthetic, and medical or hospital care under the general or specific supervision and advice of a licensed physician, surgeon, or dentist (Civil Code Section 25.8).

Parents Signature:*

First Name Last Name

Student Work and Photo Release

The Hebrew Academy promotes the positive activities, honors, and work of our staff and students. This includes working with the local newspapers, radio and television stations, and developing our own publications. These publications include school work, likenesses, and images, which may appear on the school website as well as in other publications.

There will be opportunities for students to have their work and/or photo published. Students will be identified by first name and grade level only. However, we understand that some parents may request that we do not identify their child(ren). Please initial the sign-off sheet to give us permission to release your child(ren)’s work and/or photos. Your child(ren)’s image or likeness may appear in occasional candid photos without any type of name identification and the use of these candid photos of your child(ren) is permissible. This photo release form does not apply to photographs taken during extracurricular activities. Students who attend extracurricular activities forfeit their rights to retain authority over the publication of photos taken.

I hereby grant the Hebrew Academy permission to use my child/ren's likeness in a photograph, video, or other digital media ("photo") in any and all of its publications, including web-based publications, without payment or other consideration (Appendix A of Handbook).

Parent Signature*

First Name Last Name

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