SENIOR EXPERIENCE
FIELD TRIP/ACTIVITY PERMISSION SLIP
Sign-up & Payment Deadline is August 20, 2011

Name & Date of Field Trip: Senior Experience - 12th Grade Boys & Girls Retreat  

Description & Objectives:
Students will take part in a Senior planning retreat at Laguna Beach Christian Retreat Center, Panama City, FL.
Students should bring: Rosary, Bible, a journal, 1) outfit suitable for Mass, comfortable clothing, modest swimsuit, tennis shoes, extra changes of clothes, sweatshirt or light jacket, towel, personal bathroom items, sunscreen, bug spray, sleeping bag, and pillow.

Teacher(s) in charge (subject to change):  Leanne Lee, Heather Triggs, Jim Falcetti and Tommy Curtin 

Estimated Time of Departure:  8/22/11 overnight on Campus to begin after Matriculation.     

Estimated Time of Return:  8/26/11 @ 4:00 p.m. 

Cost: $150 per student (contributes to the cost of transportation, meals at the retreat center & lodging). *Students should bring spending money for lunch on the way down, lunch on the way back and for one additional outing on the trip.

Name of Field Trip:   Senior Experience - 12th Grade Boys & Girls Retreat

Date of Field Trip:  August 22 – August 26

Dress Code for this event is: Casual Clothing (refer to student handbook for guidelines)

Student Name:       

I am the parent or guardian of above said student. (Only Parent or Guardian may submit this form).

Parent/Guardian Name:  

Student Medical Conditions or Special Notes:

Parent/Guardian Home Phone Number:  

Parent/Guardian Cell Phone / Pager Number:  

Online Registration Indicates Acceptance of the Following Consent and
Emergency Medical Release Statement:
I hereby give permission for my child listed above to attend to attend the Senior Experience field trip on the scheduled (or any rescheduled) day and to be transported by school bus, private bus, public transportation, van or private vehicle(s) as determined by the school. For myself and the named child; I hereby waive and release any claim against Holy Spirit Preparatory School and its board, employees, servants and agents for any injury or loss incurred by my child during the field trip (save for any personal injury directly resulting from gross negligence on the part of the school) and agree to indemnify the school against any expenses, loss or damages incurred as a consequence of any action or inappropriate inaction on the part of my child. I confirm that there are no medical or other circumstances that should be known to the chaperone(s) that are not noted on the reverse of this permission slip.

This Student's Registration will not be complete until your payment is submitted on the following screen.