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My son/daughter named above has my permission to participate in the described fietd

activity which has frequent or repeating trips,

schooI year.

I grant this permission to cover retated trips for the

trip. lf this is a schoot

In case of emergency, the staff member in charge has my permission to obtain medical treatment for my child.
MY PHoNE coNrAcr

8:00

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ro 5:00

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Mv PHoxe coNTAcr orHER

TtMEs

ALTERNATE EMERGENCY coNTAcT NAME

ALTERNATE EMERGENCY coNTAcT PHoNE NUMBER

I have reviewed the itinerary rules concerning this trip or activity and give permission for my chitd to participate. I recognize that my chitd is responsible for his/her behavior and that atl schoot rules apply. Further, I indemnify and hold the Otympia School District harmless from any claim not resulting from the fautt of the District.
SrcNlrunr or PanENr on GuanoraN
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HOLD HARMLESS FACILITY USE AGREEMENT EVENT NAME: Mclane Elementary School - PATS program Egg Drop

At the request of the Olympia School District, your child will be participating in an event to 125 Delphi Rd. be held at the joint Thurston County Fire Rescue Training facility, located ^t NW, Olympia WA, Mclane Black Lake Fire Department. The Fire District and its partners do not sponsor this event and assume on responsibility for it. In consideration of the use of facilities and grounds (hereinafter referred to as facilities), the participant agrees to use the facilities at there own risk and peril and agrees to waive any and all liability against the District and its partners as designated in the Training Facility Interlocal agreement as well as agrees to indemnify, defend, and hold harmless the District, its partners, its officials, employees and/or agents from and against all claims arising out of or resulting from the use of the facilities.
I have read, understand and agree to the conditions stated above and give permission for my child
sponsored to use the facilities for the "Egg Drop" event

by

Mclane Elementary PATS program on

Parent or Legal Guardian Printed Name

Parent or Legal Guardian Signature

Date