Field Trip Example

Join the outing club for a hike in the Blue Hills on September 2nd!

000 Template - Field Trip or Event

On DATE, the CLASS is heading on a field trip to PLACE to REASON FOR TRIP. We will be meeting at BUA at TIME and traveling there by TRANSPORTATION. We will return to BUA at TIME by TRANSPORTATION. [Options to drop-off/pick-up students directly via parent, carpool, MBTA, etc.] Students should bring/be prepared to REQUIRED MATERIALS. If you plan to attend, please fill out this form and have your parent/guardian respond to the generated email by DUE DATE.

Student Information
Name*
First Last
Phone*
Your BU Email*
Do you need a MBTA pass for this outing?*
How will you travel to ?*
How will you travel home from ?*
You must read and check the box in order to attend the outing.*
I agree to the following.
- I understand that my parent must reply to the email confirming 1. my permission to attend this event and 2. their consent and release from liability.
- I will follow the school rules as outlined in the Student Handbook.
Parent/Guardian Information
Parent/Guardian Name*
First Last
Parent/Guardian Relationship to Student*
Parent/Guardian Phone Number*
Parent/Guardian Email*
Parental Acknowledgement, Consent, and Release from Liability
Consent and Release of Liability*
I acknowledge that I have read the Consent and Release information.
For Participation in Boston University Academy's Event as described above.

1. I hereby consent to the participation of the child named above in all activities at this Event as specified above.

2. I understand, recognize and acknowledge that this Event involves activities including, but not limited to academic and cultural experiences that may involve the risk of accident, death, illness, physical or mental injuries, and property damage. It is my responsibility to ask questions about any aspect of the Event activities that has not been explained to my satisfaction. I hereby voluntarily assume any and all risks, including injury to person and property, related to my child’s participation in the Event.

3. In consideration of Boston University allowing my child to participate in the Event, I, on behalf of myself, my child, and anyone claiming on behalf of me or my child hereby FOREVER RELEASE Trustees of Boston University (the “University”) and its departments, officers, directors, board members, representatives, agents, and employees from any and all claims, demands, causes of action, judgment, damages, expenses and costs (including attorneys’ fees), including but not limited to claims of negligence, on account of personal injury, bodily injury, property damage, death or accident of any kind sustained by my child that arises out of or is related in any way to his/her participation in the Program which I may now or hereafter have and which the above-named minor has or hereafter may acquire, either before or after reaching majority.

4. In signing this Parental Consent and Release from Liability, I hereby acknowledge that I have read this information, that I understand its terms, that I have signed it knowingly and voluntarily, and that I intend it to bind me, my minor child, and anyone claiming on behalf of me or my child.

5. I further acknowledge that I am the parent or legal guardian of the minor identified above, with legal authority to sign this document.

Field Trip Example

000 Template - Field Trip or Event

Student Information

Parent/Guardian Information

Parental Acknowledgement, Consent, and Release from Liability