This number connects the permission slip to your child specifically. Please reach out to Michelle via Remind if you need your child's LMS#.

Where are we going: Thomaston Lanes, 180 Watertown Rd, Thomaston, CT 06787

When: Tuesdays: April 16th and 30th

My electronic signature below gives my child permission to participate in the Upper Elementary field trips on Tuesdays April 16th & 30th, 2024 as part of their physical education program with Sam Cochrane. We will depart from Litchfield Montessori School at 1:15 pm and return at 2:45 p.m. Round trip transportation will be provided by faculty drivers.

 

Parent or Guardian Release

Risk management is an essential element of all the activities we offer, and we observe standard precautions. We conduct our programs according to practices and procedures recommended by professional organizations in the field of Outdoor Education. I realize that no environment is risk free, and as such I have instructed my child on the importance of abiding by rules defined by the group leaders, and they agree that they will obey the Litchfield Montessori School’s rules and the rules of the group leaders.

I understand the Litchfield Montessori School can not safeguard against all potential injuries. In view of the foregoing, the undersigned voluntarily assumes the risk of injury that may result from participation in any program activity and herewith releases Litchfield Montessori School, its staff members, and Board of Trustees from all liability for any injury caused by, or resulting from, participation in program activities.


Administration of Medications & Permission to Seek Medical Treatment

Prescription or over the counter medications provided to the school in advance will be administered according to documented physician’s instructions only if the parent provides written consent. In the case of severe illness or emergency I hereby _____ Litchfield Montessori School staff permission to treat my son or daughter to the standard of care for which they are trained. I also _____  Litchfield Montessori School faculty and staff permission to seek medical attention on behalf of my son or daughter until the parent or guardian can be contacted and assume responsibility for the child’s medical treatment.


Permission to Travel with Volunteer Drivers

I understand that my child will be transported in a private vehicle that will be driven by either a staff member or a parent volunteer. All volunteer drivers have passed a full FBI background check. Each driver has signed the Volunteer Driver Agreement, in which they assume responsibility for specific license, insurance and vehicle requirements and in which they assume responsibility and liability for any incident that occurs while transporting students off school property.


Electronic Signature Authorization

By applying my electronic signature to this agreement, I agree that my electronic signature is the legally binding equivalent of my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable. By electronically signing and submitting this agreement, I  1) acknowledge that I have read and fully understand the terms of the agreement; 2) voluntarily agree to be bound by this agreement; and  3) certify that I am 18 years of age or older. My signature applies to all pages of this contract. I understand that if I wish to sign a hard copy of this agreement instead of an electronic version, I must contact the party that requires my signature on this agreement directly.

My signature below serves as permission for my child to participate in this field trip.